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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KAYLA MARIE BROCK-PROVENCHER, CSW

Active

KAYLA MARIE BROCK-PROVENCHER, CSW is a Clinical Social Worker healthcare provider located in LOUISVILLE, Kentucky. NPI 1922782507 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LOUISVILLE, KY

Registration Details

NPI Number
1922782507
Provider Type
Individual
Gender
Female
NPI Issued
Jun 14, 2023 (3.1452795343369 yrs)
Last Updated
Jun 14, 2023
License
258016 (KY)

Practice Information

Address
10300 BROOKRIDGE VILLAGE BLVD STE 104
LOUISVILLE, KY, 402914474
Browse KY providers · Browse ZIP 40291
Phone
5027854322
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in LOUISVILLE, KY

Name Credential NPI
SHARRON ALEXANDERSMITH LCSW 1730185562
DIANE MURPHY MSW 1336145028
JODI KLEIN L.C.S.W. 1790782803
MR. HENRY FERRIS AUSTIN LCSW 1881694610
REBECCA WILLINGHAM BACKERT LCSW 1285623140
MRS. TAMI SUE SALLADE LCSW 1922089309
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.