Individual
HELEN GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
502 FARRELL DR, COVINGTON, KY 41011-3717
(859) 331-3292
(859) 578-2864
Mailing address
502 FARRELL DR, COVINGTON, KY 41011-3717
(859) 331-3292
(859) 578-2864
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2692
KY
1041C0700X
Clinical Social Worker
3126
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0256
MEDICARE
KY
05
—
7100311740
—
KY
Enumeration date
06/01/2006
Last updated
10/22/2015
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