Provider Demographics
NPI:1699837740
Name:ADES, CHERYL ROSE (LCSW)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ROSE
Last Name:ADES
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 1:1931 FRANKFORT AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-2026
Mailing Address - Country:US
Mailing Address - Phone:502-649-5924
Mailing Address - Fax:502-649-5924
Practice Address - Street 1:1931 FRANKFORT AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-2026
Practice Address - Country:US
Practice Address - Phone:502-649-5924
Practice Address - Fax:502-649-5924
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2019-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY17391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical