SOUTHEAST KENTUCKY BEHAVIORAL HEALTH NPI 1235552498

NPI Information

  • NPI: 1235552498
  • Provider Name: SOUTHEAST KENTUCKY BEHAVIORAL HEALTH
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 202 W 7TH ST
    SUITE 115
    LONDON, KY
    ZIP 40741
  • Phone: (606) 657-0532

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NPI Details

SOUTHEAST KENTUCKY BEHAVIORAL HEALTH is a clinical social worker in London, KY. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. SOUTHEAST KENTUCKY BEHAVIORAL HEALTH NPI is 1235552498. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

202 W 7TH ST
SUITE 115
LONDON, KY
ZIP 40741-763
Phone: (606) 657-0532
Fax: (606) 657-0535

The provider's authorized official is John S Collier .
The authorized official title is Executive Director and has the following contact phone number (606) 657-0532.

The enumeration date for this NPI number is 1/23/2014 and was last updated on 2/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalNo
3103K00000XBehavior AnalystNo
4103T00000XPsychologistNo
51041C0700XSocial WorkerClinicalYes
6251B00000XCase ManagementNo
7251S00000XCommunity/Behavioral HealthNo
8261QM1300XClinic/CenterMulti-SpecialtyNo
9364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100448550MEDICAIDKENTUCKY
27100445310MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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