Provider Demographics
NPI:1437247459
Name:BODLING, MARGARET E (LCSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:E
Last Name:BODLING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 S HIGHWAY 27, SUITE 4
Mailing Address - Street 2:SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH OF KENT
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42501
Mailing Address - Country:US
Mailing Address - Phone:606-679-1815
Mailing Address - Fax:606-451-1631
Practice Address - Street 1:3540 S HIGHWAY 27, SUITE 4
Practice Address - Street 2:SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH OF KENT
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42501
Practice Address - Country:US
Practice Address - Phone:606-679-1815
Practice Address - Fax:606-451-1631
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2016-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY20631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY30615058Medicaid
KY30615058Medicaid