Provider Demographics
NPI:1619265030
Name:TOMPKINS, CARA DAVIS (LCSW)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:DAVIS
Last Name:TOMPKINS
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 1:3109 ROYPOM DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-3044
Mailing Address - Country:US
Mailing Address - Phone:859-229-3534
Mailing Address - Fax:502-589-8745
Practice Address - Street 1:3109 ROYPOM DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-3044
Practice Address - Country:US
Practice Address - Phone:859-229-3534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-19
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY38941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical