Provider Demographics
NPI:1154343598
Name:KESSLER, LINDA (MSW ACSW LCSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:KESSLER
Suffix:
Gender:F
Credentials:MSW ACSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 W ARGONNE DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KIRKWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63122-4235
Mailing Address - Country:US
Mailing Address - Phone:314-706-3918
Mailing Address - Fax:314-822-4489
Practice Address - Street 1:206 W ARGONNE DR
Practice Address - Street 2:SUITE 201
Practice Address - City:KIRKWOOD
Practice Address - State:MO
Practice Address - Zip Code:63122-4235
Practice Address - Country:US
Practice Address - Phone:314-706-3918
Practice Address - Fax:314-822-4489
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0010551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO439292OtherHEALTHLINK
MOA979467OtherVALUE OPTIONS
MO131368OtherBC/BS