Organization
JENNIFER SHANKS, LCSW, LCADC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SHANKS LCSW, LCADC (OWNER)
(502) 548-5647
Entity
Organization
Contact information
Practice address
161 SAINT MATTHEWS AVE STE 18, LOUISVILLE, KY 40207-3145
(502) 548-5647
Mailing address
907 BROADFIELDS DR, LOUISVILLE, KY 40207-4341
(502) 548-5647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
04/11/2025
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