Provider Demographics
NPI:1487766564
Name:MCKENDRY, LINDA KATHLEEN (LICSW,MSW)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:KATHLEEN
Last Name:MCKENDRY
Suffix:
Gender:F
Credentials:LICSW,MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VAPSHCS-AMERICAN LAKE DIVISION
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98493-0001
Mailing Address - Country:US
Mailing Address - Phone:253-583-1683
Mailing Address - Fax:253-589-4167
Practice Address - Street 1:9600 VETERANS DR SW
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-0001
Practice Address - Country:US
Practice Address - Phone:253-583-1683
Practice Address - Fax:253-589-4167
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000063041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical