Organization Name: | LINDA SUE GENGELBACH |
NPI Number: | 1356529895 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA SUE GENGELBACH (DIRECTOR) |
Mailing Address: | 746 9th St Tell City |
State: | IN US |
Postal Code: | 475861711 |
Phone Number: | 8125480930 |
Fax Number: | 8125480931 |
NPI Enumeration Date: | 02/06/2008 |
NPI Last Update Date: | 06/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 34003528A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |