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Individual

JESSICA A. WEINSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
8134 NEW LA GRANGE RD STE 100, LOUISVILLE, KY 40222-4677
(502) 472-7293
(502) 690-4500
Mailing address
8134 NEW LA GRANGE RD STE 100, LOUISVILLE, KY 40222-4677
(502) 472-7293
(502) 690-4500

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253563
KY
1041C0700X
Clinical Social Worker
7075
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100587770
KY
Enumeration date
08/11/2014
Last updated
09/12/2025
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