Provider Demographics
NPI:1942581772
Name:GADANSKY, AMY MICHELLE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:MICHELLE
Last Name:GADANSKY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8401 SHELBYVILLE RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-5586
Mailing Address - Country:US
Mailing Address - Phone:502-424-0876
Mailing Address - Fax:502-327-7419
Practice Address - Street 1:8401 SHELBYVILLE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-5586
Practice Address - Country:US
Practice Address - Phone:502-424-0876
Practice Address - Fax:502-327-7419
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-19171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical