Mcclelland, Kimberly Bickham
Mcclelland, Kimberly Bickham is an sole proprietor health care provider with primary practice located at 820 Jordan St Ste 510A , Shreveport LA 71101-4526. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mcclelland, Kimberly Bickham can be contacted via phone (318) 861-1090.Contact Information
Primary practice address
820 Jordan St Ste 510A
Shreveport LA 71101-4526
Phone: (318) 861-1090
Fax: (318) 606-2038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LA2189 | Louisiana |
Profile Details
| NPI number | 1639115348 |
|---|---|
| LBN Legal business name | Mcclelland, Kimberly Bickham |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jul 2nd, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639115348 | NPPES |
| Louisiana | Other | 2189 | LA STATE BOARD OF SOCIAL |
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