Individual
ABBIGAIL S HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
931 E MAIN ST, CECILIA, KY 42724-7614
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6555
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256332
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15480670
CAQH
—
01
—
256332
LCSW
KY
05
—
7100798760
—
KY
Enumeration date
01/11/2022
Last updated
08/03/2023
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