Individual
ANGELA WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW, LCSW
Contact information
Practice address
1154A LEXINGTON RD, GEORGETOWN, KY 40324-9330
(502) 383-4828
Mailing address
906 US HIGHWAY 68 STE C, MAYSVILLE, KY 41056-7100
(606) 584-7055
(866) 533-4929
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255163
KY
1041C0700X
Clinical Social Worker
Primary
LCSW00001425
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
01
—
255163
BOARD OF SOCIAL WORK
KY
01
—
265576
KENTUCKY BOARD OF LICENSURE OF MARRIAGE AND FAMILY THERAPISTS
KY
Enumeration date
07/28/2014
Last updated
04/03/2026
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