Individual
MS. KATHLEEN LOUISE LITZENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW DCSW
Contact information
Practice address
7204 HIGHWAY 329 STE 102, CRESTWOOD, KY 40014-8875
(336) 686-2157
Mailing address
4506 YAGER LN, LOUISVILLE, KY 40241-1723
(336) 686-2157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
254467
KY
1041C0700X
Clinical Social Worker
C003903
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134-NF
ANTHEM
NC
01
—
134NF
BLUE CROSS BLUE SHIELD
NC
01
—
1598747610
OPTUM
NC
01
—
1598757610
CHOICE CARE
NC
01
—
331055
TRICARE
—
05
—
6002261
—
NC
01
—
6329720
CIGNA
—
05
—
7100878370
—
KY
01
—
K0010566
MEDICARE ID
KY
Enumeration date
11/15/2005
Last updated
06/20/2024
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