Provider Demographics
NPI:1801833207
Name:PARRETT, SUZANNE (LCSW)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:PARRETT
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 1:107 CRANES ROOST CT
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-3650
Mailing Address - Country:US
Mailing Address - Phone:270-765-2605
Mailing Address - Fax:270-766-1222
Practice Address - Street 1:1106 TUNNEL HILL RD STE 100
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-8026
Practice Address - Country:US
Practice Address - Phone:270-765-2335
Practice Address - Fax:270-765-2557
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY20721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY342948OtherTRICARE
KY000000338949OtherANTHEM
11545092OtherCAQH
KY30605018Medicaid
KY30605018Medicaid
KY0974706Medicare ID - Type UnspecifiedMEDICARE
KY0358674Medicare ID - Type UnspecifiedMEDICARE
11545092OtherCAQH
KY000000338949OtherANTHEM
KY0763504Medicare ID - Type UnspecifiedMEDICARE
KY0762204Medicare ID - Type UnspecifiedMEDICARE