Individual
COURTNEY SHERRILL MOODY
Active
Individual
COURTNEY SHERRILL MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
168640
KY
1041C0700X
Clinical Social Worker
Primary
246208
AK
1041C0700X
Clinical Social Worker
3374
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100364240
—
KY
Enumeration date
01/11/2007
Last updated
08/04/2026
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