Judith A Kline, LCSW
Individual provider Active NPI Clinical Social Worker · Nashville, IN
NPI 1356313530 · NPPES record last updated Jul 22, 2014
Key facts
- NPI
- 1356313530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34000138A (IN)
- Practice address
- 91 W Mound St
Nashville, IN 47448-7049 - Phone
- (812) 988-2258
- Fax
- (812) 988-2257
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34000138A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quinco Consulting Center Inc | Past | Accepting new patients | |
| Centerstone of Indiana, Inc. | Past | Accepting new patients | |
| Centerstone of Indiana, Inc. | Past | Accepting new patients | |
| Psychological Laboratories of Indianapolis, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34000138A | IN | Yes |
Addresses
Primary practice location
91 W Mound St
Nashville, IN 47448-7049
Mailing address
645 S Rogers St
Bloomington, IN 47403-2353
Phone (812) 339-1691
Other providers in Nashville, IN
- Indiana University Health Bloomington Inc
- Ellen Jackson
- Steven Chester Junken
- Alexa Kaufman
- Amanda L Kinnaird
- Carol Korb
- Rachael Kramer
- Shauna L Kuhbander
- Nina G Kuhlman
- Shonna Lane
All providers in Nashville, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.