Provider Demographics
NPI:1992043491
Name:DENTON, SALLY F (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SALLY
Middle Name:F
Last Name:DENTON
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 1:426 HORSESHOE DR
Mailing Address - Street 2:
Mailing Address - City:CADIZ
Mailing Address - State:KY
Mailing Address - Zip Code:42211-7231
Mailing Address - Country:US
Mailing Address - Phone:270-206-0491
Mailing Address - Fax:
Practice Address - Street 1:426 HORSESHOE DR
Practice Address - Street 2:
Practice Address - City:CADIZ
Practice Address - State:KY
Practice Address - Zip Code:42211-7231
Practice Address - Country:US
Practice Address - Phone:270-206-0491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical