Individual
DIANE L HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
914 E BROADWAY, LOUISVILLE, KY 40204-1037
(502) 587-8833
(502) 589-8758
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
254402
KY
171M00000X
Case Manager/Care Coordinator
3512
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
254402
KY BOARD OF SOCIAL WORKERS
KY
Enumeration date
04/10/2013
Last updated
12/05/2022
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