Individual
JOANNA RODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
501 DARBY CREEK RD STE 1, LEXINGTON, KY 40509-1605
(859) 576-7678
Mailing address
501 DARBY CREEK RD STE 1, LEXINGTON, KY 40509-1605
(859) 576-7678
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1513
KY
1041C0700X
Clinical Social Worker
Primary
1513
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
01/23/2007
Last updated
07/02/2023
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