Provider Demographics
NPI:1033764956
Name:LOVELESS, GINGER LYNN (BSW)
Entity Type:Individual
Prefix:
First Name:GINGER
Middle Name:LYNN
Last Name:LOVELESS
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 CLIFTY ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42501-1666
Mailing Address - Country:US
Mailing Address - Phone:606-679-9009
Mailing Address - Fax:
Practice Address - Street 1:321 RINGGOLD RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-3900
Practice Address - Country:US
Practice Address - Phone:606-451-1936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor