Provider Demographics
NPI:1104954346
Name:HAZLETTE, MARGARET ADAMS (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ADAMS
Last Name:HAZLETTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2250 REGENCY ROAD
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2302
Mailing Address - Country:US
Mailing Address - Phone:859-278-1814
Mailing Address - Fax:859-276-5206
Practice Address - Street 1:2250 REGENCY ROAD
Practice Address - Street 2:SUITE 100A
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2302
Practice Address - Country:US
Practice Address - Phone:859-278-1814
Practice Address - Fax:859-276-5206
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY12921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical