Clark, Linda J.

Clark, Linda J. is an sole proprietor health care provider with primary practice located at 238 N 2Nd St Ste.1, Richmond KY 40475-1484. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clark, Linda J. can be contacted via phone (859) 623-0925.

Contact Information

Primary practice address
238 N 2Nd St Ste.1 Richmond KY 40475-1484
Phone: (859) 623-0925
Fax: (859) 625-9984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X KY-432 Kentucky
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X KY-0376 Kentucky

Profile Details

NPI number 1801806583
LBN Legal business name Clark, Linda J.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Sep 5th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801806583 NPPES
Kentucky MEDICAID 82004326
Kentucky Other 000000042964

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