Provider Demographics
NPI:1669695771
Name:NEMETHY, TERRI LYNNE (LCSW)
Entity type:Individual
Prefix:MS
First Name:TERRI
Middle Name:LYNNE
Last Name:NEMETHY
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 1:5440 BINNS MILL RD
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:KY
Mailing Address - Zip Code:42236-8200
Mailing Address - Country:US
Mailing Address - Phone:270-889-3979
Mailing Address - Fax:270-886-1321
Practice Address - Street 1:5440 BINNS MILL RD
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:KY
Practice Address - Zip Code:42236-8200
Practice Address - Country:US
Practice Address - Phone:270-889-3979
Practice Address - Fax:270-886-1321
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY9671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical