Provider Demographics
NPI:1194404699
Name:GREER, JAMIE NICOLE (CSW)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:NICOLE
Last Name:GREER
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 154
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40588-0154
Mailing Address - Country:US
Mailing Address - Phone:502-727-0787
Mailing Address - Fax:
Practice Address - Street 1:3493 LANSDOWNE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-1147
Practice Address - Country:US
Practice Address - Phone:859-396-8723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2581741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical