Provider Demographics
NPI:1609353861
Name:LEMLEY, AMY (BSW, MSSW, LCSW)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:LEMLEY
Suffix:
Gender:F
Credentials:BSW, MSSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 HIGH CREST DR
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-8666
Mailing Address - Country:US
Mailing Address - Phone:502-410-8654
Mailing Address - Fax:
Practice Address - Street 1:2210 GOLDSMITH LN STE 202
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-1038
Practice Address - Country:US
Practice Address - Phone:502-410-8654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2534111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical