Theodore M Lineberry, CSW
Social Worker, Clinical in Louisville, KY. Individual provider (NPI-1).
NPI number1831979533
StatusActive
Last updated in NPPESFeb 9, 2024
Details
- NPI
- 1831979533
- Entity type
- Individual (NPI-1)
- Name
- Theodore M Lineberry
- Credential
- CSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2023
- Certification date
- Feb 9, 2024
- Last updated
- Feb 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 258812 | KY | Yes |
Practice location
950 S 1st StLouisville, KY 40203-2202
Phone 502-585-9444 · Fax 502-585-9466
Mailing address
950 S 1st StLouisville, KY 40203-2202
Phone 502-585-9444 · Fax 502-585-9466
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