Vandergriff, Rita J

Vandergriff, Rita J is an individual health care provider with primary practice located at 2311 Fortune Dr , Lexington KY 40509-4264. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Vandergriff, Rita J can be contacted via phone (859) 253-1686.

Contact Information

Primary practice address
2311 Fortune Dr Lexington KY 40509-4264
Phone: (859) 253-1686
Fax: (859) 254-2743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 4024 Kentucky

Profile Details

NPI number 1053451336
LBN Legal business name Vandergriff, Rita J
Credentials Certified Social Worker (CSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053451336 NPPES
Kentucky MEDICAID 30615058

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