Provider Demographics
NPI:1427294693
Name:HUMKEY, STEPHANIE R (LCSW)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:R
Last Name:HUMKEY
Suffix:
Gender:F
Credentials:LCSW
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 910309
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40591-0309
Mailing Address - Country:US
Mailing Address - Phone:859-396-7222
Mailing Address - Fax:
Practice Address - Street 1:1029 MONARCH ST STE 140
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1904
Practice Address - Country:US
Practice Address - Phone:859-396-7222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-32501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical