CRAIG B CONGLETON LCSW NPI 1639100167

NPI Information

NPI: 1639100167
Provider Name: CRAIG B CONGLETON, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3175 CUSTER DR STE 200
LEXINGTON, KY
ZIP 40517
Phone: (859) 273-1288
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Craig B Congleton, LCSW is a mental health counselor in Lexington, KY. Craig B Congleton, LCSW NPI is 1639100167. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3175 CUSTER DR STE 200
LEXINGTON, KY
ZIP 40517-023
Phone: (859) 273-1288
Fax: (859) 273-1278

The enumeration date for this NPI number is 7/5/2006 and was last updated on 1/27/2008.

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
1	101YM0800X	Counselor	Mental Health	KY-725	KENTUCKY	Yes

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
1	000000042911	OTHER	KENTUCKY	KY ANTHEM BC/BS NUMBER

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

NPI Synchronization or Removal

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