Provider Demographics
NPI:1144105420
Name:WHITT-WOOSLEY, ADRIENNE (PHD, LCSW)
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:
Last Name:WHITT-WOOSLEY
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 ARCADIA PARK
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1350
Mailing Address - Country:US
Mailing Address - Phone:859-948-2140
Mailing Address - Fax:
Practice Address - Street 1:570 ARCADIA PARK
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1350
Practice Address - Country:US
Practice Address - Phone:859-948-2140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1781101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health