Provider Demographics
NPI:1568551711
Name:SACHS, EMILY FRANCES (LCSW)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:FRANCES
Last Name:SACHS
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 1:201 MECHANIC ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40507-1004
Mailing Address - Country:US
Mailing Address - Phone:859-233-0444
Mailing Address - Fax:859-233-0144
Practice Address - Street 1:201 MECHANIC ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40507-1004
Practice Address - Country:US
Practice Address - Phone:859-233-0444
Practice Address - Fax:859-233-0144
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-15521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY30615058Medicaid
KY0575130Medicare ID - Type UnspecifiedMEDICARE
KYP31556Medicare UPIN
KY0331015Medicare ID - Type UnspecifiedMEDICARE
KY05775134Medicare ID - Type Unspecified