Provider Demographics
NPI:1821162835
Name:MYERS, JANE KAREN (LCSW,LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:KAREN
Last Name:MYERS
Suffix:
Gender:F
Credentials:LCSW,LMFT
Other - Prefix:MS
Other - First Name:JANE
Other - Middle Name:KAREN
Other - Last Name:SEAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3702 BROWNSBORO RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-1820
Mailing Address - Country:US
Mailing Address - Phone:502-897-5305
Mailing Address - Fax:502-897-6369
Practice Address - Street 1:3702 BROWNSBORO RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-1820
Practice Address - Country:US
Practice Address - Phone:502-897-5305
Practice Address - Fax:502-897-6369
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY06941041C0700X
KY0391106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0682201Medicare ID - Type Unspecified
KYCSW0154Medicare UPIN