NPI 1124524368

Leroy None Redeaux, LCSW

Practitioner Clinical Social Worker Bardstown, KY

Practice location

Address: 700 Portland Ave STE B, Bardstown, KY 40004-2539
Phone: (270) 234-6695
Mailing address: 200 Brule St Bldg 871, Fort Knox, KY 40121-6100

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 5027 (KY)

Other Social Worker providers in Kentucky →

Registry record

NPI: 1124524368
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2018
Record last updated: 14 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.