Individual
TINA RIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2250 THUNDERSTICK DR, LEXINGTON, KY 40505-9010
(859) 254-1035
Mailing address
400 PERRY DR, NICHOLASVILLE, KY 40356-2462
(859) 825-8437
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
255463
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100720940
—
KY
Enumeration date
11/07/2018
Last updated
02/23/2021
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