Individual
CASSIDY LEKAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LISW
Contact information
Practice address
313 MADISON PIKE, ERLANGER, KY 41017-9413
(859) 491-4435
Mailing address
1650 RUSSELL ST, COVINGTON, KY 41011-3361
(859) 392-3304
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
131094
OH
104100000X
Social Worker
I.1303250.SUPV
OH
1041C0700X
Clinical Social Worker
Primary
5087
KY
1041C0700X
Clinical Social Worker
I.1303250.SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0437602
—
OH
05
—
7100346650
—
KY
Enumeration date
03/07/2016
Last updated
04/08/2021
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