Linda J. Clark, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

KY-432 Issued in KY

Practice address

238 N 2ND St
Ste.1
Richmond, KY 40475-1484

Phone

(859) 623-0925

Fax

(859) 625-9984

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1801806583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 N 2ND ST",
            "address_2": "STE.1",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751484",
            "telephone_number": "859-623-0925",
            "fax_number": "859-625-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 N 2ND ST",
            "address_2": "STE.1",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751484",
            "telephone_number": "859-623-0925",
            "fax_number": "859-625-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LINDA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KY-432",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "KY-0376",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82004326",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000042964",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Christian, KCSA
• Christina Ciolek, OTR/L
• Kathryn Clapsaddle, DMD
• Clarity Point Youth Program LLC
• Karen Clark, PT
• Stephanie Clayton
• Robert Monty Cline II, D.O
• Heather C Clines, MPT
• Emily Clonce
• Madison Paige Cochran

• Clinical Social Worker in Richmond, KY
• Providers in Richmond, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.