Provider Demographics
NPI:1942357249
Name:WELTER, MARGARET S (LCSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:S
Last Name:WELTER
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 1:11102 BROOKSTONE CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-2653
Mailing Address - Country:US
Mailing Address - Phone:502-244-2815
Mailing Address - Fax:502-254-8870
Practice Address - Street 1:12700 SHELBYVILLE RD
Practice Address - Street 2:BARKLEY, SUITE 302
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-1576
Practice Address - Country:US
Practice Address - Phone:502-254-8880
Practice Address - Fax:502-254-8870
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY8541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY82001215Medicaid
KY82001215Medicaid