Individual
NICKY G CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1951 BISHOP LN, SUITE 204/206, LOUISVILLE, KY 40218-1930
(502) 479-4433
(502) 451-5949
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 479-4433
(502) 451-5949
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1400
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82000845
—
KY
Enumeration date
06/09/2006
Last updated
11/11/2010
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