Individual
MS. SHELAGH MARIE CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2425
(859) 288-7516
Mailing address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2392
(859) 721-3918
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
KY1401
KY
1041C0700X
Clinical Social Worker
Primary
KY1401
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100276590
—
KY
Enumeration date
08/30/2005
Last updated
05/23/2019
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