IndividualActive
Aeon Vega, LCSW
NPI 1144796699 · Clinical Social Worker · Louisville, KY
Provider details
- NPI number
- 1144796699
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sole proprietor
- Yes
- License
- S.1802969 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
2020 Newburg Rd
Louisville, KY 40205-1803
Phone: (502) 472-7293
Approximate (ZIP-level) locationGet directions
Mailing address
2020 Newburg Rd
Louisville, KY 40205-1803
Registry dates
- Enumerated
- 2018-10-22
- Last updated
- 2025-02-09
- Certified
- 2025-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.