Provider Demographics
NPI:1053444380
Name:HUGHES, AMY (MSSW, CSW, CADC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MSSW, CSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9319 TAYLORSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-1737
Mailing Address - Country:US
Mailing Address - Phone:502-435-3833
Mailing Address - Fax:502-618-2609
Practice Address - Street 1:9319 TAYLORSVILLE RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-1737
Practice Address - Country:US
Practice Address - Phone:502-435-3833
Practice Address - Fax:502-618-2609
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5270104100000X
KY0885101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)