Individual
AMANDA SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW, MSW
Contact information
Practice address
71 CONN ST, IVEL, KY 41642-9406
(859) 436-8468
Mailing address
71 CONN ST, IVEL, KY 41642-9406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
257259
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101074590
—
KY
Enumeration date
11/29/2023
Last updated
07/31/2025
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