Provider Demographics
NPI:1154757599
Name:LINK, KATHLEEN ADELL (LCSW)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:ADELL
Last Name:LINK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1236 SE BROOKSIDE WAY
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97333-3196
Mailing Address - Country:US
Mailing Address - Phone:828-242-4645
Mailing Address - Fax:
Practice Address - Street 1:2 DOCTORS PARK STE E417
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4532
Practice Address - Country:US
Practice Address - Phone:828-253-2900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-17
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP008279OtherLCSW