Provider Demographics
NPI:1033526934
Name:RUPSCH, DAVID ROBERT II (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ROBERT
Last Name:RUPSCH
Suffix:II
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2868 H E JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:ALVATON
Mailing Address - State:KY
Mailing Address - Zip Code:42122-9630
Mailing Address - Country:US
Mailing Address - Phone:270-799-9440
Mailing Address - Fax:
Practice Address - Street 1:996 WILKINSON TRCE
Practice Address - Street 2:SUITE A-4
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42103-3407
Practice Address - Country:US
Practice Address - Phone:270-904-1072
Practice Address - Fax:270-904-1073
Is Sole Proprietor?:No
Enumeration Date:2014-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2522471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical