Provider Demographics
NPI:1174807309
Name:STRICKLAND, KELLY GERMAINE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:GERMAINE
Last Name:STRICKLAND
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 1:136 E CHAPEL HILL ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-3202
Mailing Address - Country:US
Mailing Address - Phone:919-688-7101
Mailing Address - Fax:919-688-7102
Practice Address - Street 1:136 E CHAPEL HILL ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3202
Practice Address - Country:US
Practice Address - Phone:919-688-7101
Practice Address - Fax:919-688-7102
Is Sole Proprietor?:No
Enumeration Date:2011-10-06
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0065381041C0700X
NCC0083331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical