Individual provider · Type 1 NPI

Leroy None Redeaux Jr., LCSW

Clinical Social Worker · Bardstown, KY

NPI number 1124524368 Active

Practice location

700 Portland Ave Ste B
Bardstown, KY 40004-2539

Call (270) 234-6695 Map

Mailing address

200 Brule St Bldg 871
Fort Knox, KY 40121-6100

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X5027 (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 1124524368

Leroy None Redeaux Jr., LCSW's National Provider Identifier is 1124524368, issued on Apr 5, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bardstown, KY. The record was last updated on Dec 14, 2023.