Individual provider · Type 1 NPI

Ellen Taylor Buddeke, LCSW

Clinical Social Worker · Louisville, KY

NPI number 1144728759 Active

Practice location

1951 Bishop Ln Ste 300
Louisville, KY 40218-1950

Call (502) 446-5610 Map

Mailing address

PO Box 776351
Chicago, IL 60677-6351

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X253729 (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 1144728759

Ellen Taylor Buddeke, LCSW's National Provider Identifier is 1144728759, issued on Jan 29, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on Oct 21, 2021.