Individual provider · Type 1 NPI

Charles David Medley, LCSW

Clinical Social Worker · Lexington, KY

NPI number 1083709976 Active

Practice location

3150 Custer Dr., SUITE203
Lexington, KY 40517

Call (859) 271-7788 Map

Fax (859) 273-3306

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X144 (KY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1083709976

Charles David Medley, LCSW's National Provider Identifier is 1083709976, issued on Oct 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lexington, KY. The record was last updated on Jul 8, 2007.