Doctor Name: | MRS. LINDA KAYE MCCLERKLIN |
NPI Number: | 1952681041 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 149.017463 |
Business Practice Address: | 22801 Niamh Ct Richton Park, IL - 604711480 |
Business Phone Number: | 7733551258 |
Business Fax Number: | |
Mailing Address: | 22801 Niamh Ct, RICHTON PARK |
State: | IL |
Postal Code: | 604711480 |
Phone Number: | 7733551258 |
Fax Number: | |
NPI Enumeration Date: | 08/22/2011 |
NPI Last Update Date: | 06/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149.017463 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |