Provider Demographics
NPI:1730653767
Name:J L SCHORCH LCSW PSC
Entity Type:Organization
Organization Name:J L SCHORCH LCSW PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:SCHORCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-821-6309
Mailing Address - Street 1:1503 E BRECKINRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40204-1709
Mailing Address - Country:US
Mailing Address - Phone:502-821-6309
Mailing Address - Fax:
Practice Address - Street 1:1167 E BROADWAY STE 400
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204-1768
Practice Address - Country:US
Practice Address - Phone:502-821-6309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-12
Last Update Date:2019-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty