Provider Demographics
NPI:1922170125
Name:AUERWECK, PRISCILLA JANE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PRISCILLA
Middle Name:JANE
Last Name:AUERWECK
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 1:4300 OUTER LOOP
Mailing Address - Street 2:STE F
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40219
Mailing Address - Country:US
Mailing Address - Phone:502-968-9594
Mailing Address - Fax:502-968-0465
Practice Address - Street 1:4300 OUTER LOOP
Practice Address - Street 2:STE F
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40219
Practice Address - Country:US
Practice Address - Phone:502-968-9594
Practice Address - Fax:502-968-0465
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY04721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical