Healthcare Provider Details

I. General information

NPI: 1154343598
Provider Name (Legal Business Name): LINDA KESSLER MSW ACSW LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 W ARGONNE DR SUITE 201
KIRKWOOD MO
63122-4235
US

IV. Provider business mailing address

206 W ARGONNE DR SUITE 201
KIRKWOOD MO
63122-4235
US

V. Phone/Fax

Practice location:
  • Phone: 314-706-3918
  • Fax: 314-822-4489
Mailing address:
  • Phone: 314-706-3918
  • Fax: 314-822-4489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number001055
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: