Provider Demographics
NPI:1023221751
Name:BARNETT, RHONDA L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:L
Last Name:BARNETT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 SORRENTO AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-2656
Mailing Address - Country:US
Mailing Address - Phone:502-802-3458
Mailing Address - Fax:
Practice Address - Street 1:2331 FORTUNE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-4110
Practice Address - Country:US
Practice Address - Phone:859-421-5831
Practice Address - Fax:859-402-8084
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-30771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical