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MDC2 LLC NPI 1346431335


NPI Information

NPI: 1346431335
Provider Name: MDC2 LLC

Doing Business As: RESTORATION HOUSE

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
9319 TAYLORSVILLE RD
LOUISVILLE, KY
ZIP 40299
Phone: (502) 618-1201
Get Directions

MDC2 LLC is a clinical social worker in Louisville, 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. MDC2 LLC NPI is 1346431335. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Restoration House.

The provider's business location address is:

9319 TAYLORSVILLE RD
LOUISVILLE, KY
ZIP 40299-737
Phone: (502) 618-1201
Fax: (502) 618-2609

The provider's authorized official is Marydora Conley .
The authorized official title is Clinical Partner and has the following contact phone number (502) 618-1201.

The enumeration date for this NPI number is 8/6/2007 and was last updated on 12/23/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family Therapist0575KENTUCKYNo
21041C0700XSocial WorkerClinical1966KENTUCKYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11649473133OTHERKENTUCKYINDIVIDUAL NPI
200287MEDICARE UPINKENTUCKY

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: 4/28/2024

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