Individual
MR. JARROD CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
600 PERIMETER DR STE 125, LEXINGTON, KY 40517-4296
(866) 678-8123
Mailing address
241 SHELL CT, LEXINGTON, KY 40511-8684
(314) 910-8912
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6494
KY
1041C0700X
Clinical Social Worker
Primary
253405
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
11/08/2016
Last updated
09/01/2021
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