Provider Demographics
NPI:1972510261
Name:ESLINGER, JESSICA GREENE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:GREENE
Last Name:ESLINGER
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 1:101 CRESCENT AVE STE A
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-1512
Mailing Address - Country:US
Mailing Address - Phone:502-494-8364
Mailing Address - Fax:502-721-0333
Practice Address - Street 1:101 CRESCENT AVE STE A
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-1512
Practice Address - Country:US
Practice Address - Phone:502-494-8364
Practice Address - Fax:502-721-0333
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1192101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000209318OtherBLUE CROSS&BLUE SHIELD