Basic Information
| Provider Information | |||||||||
| NPI: | 1235435132 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCGINNIS | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3509 INDIAN SUMMER TRL | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405092052 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593385081 | ||||||||
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| Practice Location | |||||||||
| Address1: | 861 CORPORATE DR | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405035432 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592242022 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/10/2011 | ||||||||
| LastUpdateDate: | 02/10/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 3488 | KY | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.