Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexy Shale Lake, CSW

Individual provider Social Worker · NPI 1881109981

Alexy Shale Lake, CSW is a Social Worker in Madisonville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2017
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Practice location Address checks out

1840 Lantaff Blvd Ste 100
Madisonville, KY 42431-9403
Phone: (270) 601-4235
Fax: (270) 350-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 252824 (KY)

Record details

NPI number1881109981
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSW
Sole proprietorYes
NPI enumeratedDecember 11, 2017
Last updated in NPPESJune 16, 2018

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