Individual
KERRY A WEINTRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1182 JONES ST, RADCLIFF, KY 40160-9612
(502) 230-1656
Mailing address
151 PORTOBELLO RD, RADCLIFF, KY 40160-8933
(253) 306-6918
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
255349
KY
104100000X
Social Worker
256121
KY
1041C0700X
Clinical Social Worker
Primary
259663
KY
1041C0700X
Clinical Social Worker
34012694A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101022870
—
KY
Enumeration date
08/26/2021
Last updated
03/18/2026
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