Provider Demographics
NPI:1083241715
Name:HALK, KATHERYN ANNE (MSW, CSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHERYN
Middle Name:ANNE
Last Name:HALK
Suffix:
Gender:F
Credentials:MSW, CSW
Other - Prefix:MRS
Other - First Name:KATHY
Other - Middle Name:ANNE
Other - Last Name:HALK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, CSW
Mailing Address - Street 1:519 RIGHT ANGLE RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-7539
Mailing Address - Country:US
Mailing Address - Phone:859-595-3317
Mailing Address - Fax:
Practice Address - Street 1:3050 RIO DOSA DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1540
Practice Address - Country:US
Practice Address - Phone:859-269-2325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2521781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical