Provider Demographics
NPI:1144242488
Name:BARGER, KATHRYN MARIA (LCSW, CADC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:MARIA
Last Name:BARGER
Suffix:
Gender:F
Credentials:LCSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 9TH CAVALRY REGIMENT AVE
Mailing Address - Street 2:BLDG 503
Mailing Address - City:FORT KNOX
Mailing Address - State:KY
Mailing Address - Zip Code:40121-5282
Mailing Address - Country:US
Mailing Address - Phone:502-624-2981
Mailing Address - Fax:
Practice Address - Street 1:459 9TH CAVALRY REGIMENT AVE
Practice Address - Street 2:BLDG 503
Practice Address - City:FORT KNOX
Practice Address - State:KY
Practice Address - Zip Code:40121-5282
Practice Address - Country:US
Practice Address - Phone:502-624-2981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2031104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0938424Medicare ID - Type Unspecified