Boddie, Willie Thomas

Boddie, Willie Thomas is an individual health care provider with primary practice located at 306 W Main St , Frankfort KY 40601-1895. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Boddie, Willie Thomas can be contacted via phone (502) 385-2748.

Contact Information

Primary practice address
306 W Main St Frankfort KY 40601-1895
Phone: (502) 385-2748
Fax: (502) 996-8400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1505 Kentucky

Profile Details

NPI number 1245510213
LBN Legal business name Boddie, Willie Thomas
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2011
Last updated May 23rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245510213 NPPES
Kentucky MEDICAID 7100282590

Popular Providers