Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles David Medley, LCSW

Individual provider Clinical Social Worker · NPI 1083709976

Charles David Medley, LCSW is a Clinical Social Worker in Lexington, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3150 Custer Dr SUITE203
Lexington, KY 40517
Phone: (859) 271-7788
Fax: (859) 273-3306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 144 (KY)

Record details

NPI number1083709976
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESJuly 8, 2007

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