Provider Demographics
NPI:1790349413
Name:PAYNE, AMY ELIZABETH MORGAN (LCSW, LSW, OSW-C)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:ELIZABETH MORGAN
Last Name:PAYNE
Suffix:
Gender:F
Credentials:LCSW, LSW, OSW-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 776347
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6347
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:676 S FLOYD ST STE 200
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1840
Practice Address - Country:US
Practice Address - Phone:502-424-4618
Practice Address - Fax:502-899-6763
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-29
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY2539901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical