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Contact Information

TARA EPPERSON, LCSW
3830 HIGHWAY 15 S
JACKSON, KY41339
 Phone: 606-666-7591
 Fax: 606-666-8364
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for TARA EPPERSON · (Female)

NPI Number 1457628737
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 11/30/2011
Last updated 06/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 5011
  • KY Medicaid 7100425850
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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