Individual
MS. JENNIFER HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
224A BRECKENRIDGE LN, LOUISVILLE, KY 40207-3859
(812) 896-6444
(812) 896-8004
Mailing address
PO BOX 6504, LOUISVILLE, KY 40206-0504
(502) 896-6444
(812) 896-8004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1545
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225670
ANTHEM BCBS
KY
Enumeration date
03/03/2006
Last updated
07/08/2007
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