Individual
GERICAHA SPILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 589-8600
Mailing address
10401 LINN STATION RD, LOUISVILLE, KY 40223-3842
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
KY
1041C0700X
Clinical Social Worker
Primary
254187
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100627550
—
KY
01
—
K309450
MEDICARE
KY
Enumeration date
05/13/2014
Last updated
03/19/2025
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