Provider Demographics
NPI:1073541454
Name:LESTER, NANCY (LISW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:LESTER
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 DORTHA AVE
Mailing Address - Street 2:AWARENESS & DISCOVERY GROUP
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-2014
Mailing Address - Country:US
Mailing Address - Phone:859-525-1487
Mailing Address - Fax:859-525-7811
Practice Address - Street 1:2 DORTHA AVE
Practice Address - Street 2:AWARENESS & DISCOVERY GROUP
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-6910
Practice Address - Country:US
Practice Address - Phone:859-525-1487
Practice Address - Fax:859-525-7811
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH00087001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
12259189OtherCAQH