Individual
JERRY TODD WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
185 TREUHAFT BLVD, BARBOURVILLE, KY 40906-8303
(606) 546-2757
Mailing address
106 BELINDA BLVD, SUITE 100, DANVILLE, KY 40422-3217
(859) 209-4286
(859) 209-4278
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1574
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227561
ANTHEM BCBS
—
01
—
1197004
CHA
—
01
—
279367
MANAGED HEALTH
—
05
—
30610026
—
KY
01
—
541568
VALUE OPTIONS
—
01
—
800013193
PALMETTO - RR MCR
—
Enumeration date
07/10/2006
Last updated
06/13/2011
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