Kelley, Linda Sue

Kelley, Linda Sue is an individual health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Kelley, Linda Sue can be contacted via phone (270) 798-8601.

Contact Information

Primary practice address
650 Joel Dr Fort Campbell KY 42223-5318
Phone: (270) 798-8601
Fax: (270) 798-8239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 1809 Kentucky
Behavioral Health & Social Service Providers / Social Worker 104100000X SW 8644 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1809 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 8644 Florida

Profile Details

NPI number 1477508646
LBN Legal business name Kelley, Linda Sue
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Sep 26th, 2014 - about 10 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 1477508646 NPPES
Kentucky MEDICAID 30605018
Kentucky Other 11490320

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