Provider Demographics
NPI:1366691669
Name:MCKINLEY, APRIL HAMMONS (LCSW)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:HAMMONS
Last Name:MCKINLEY
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 1:2508 LAKELAND DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9502
Mailing Address - Country:US
Mailing Address - Phone:601-664-0455
Mailing Address - Fax:601-664-1675
Practice Address - Street 1:2508 LAKELAND DR
Practice Address - Street 2:SUITE 200
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-9502
Practice Address - Country:US
Practice Address - Phone:601-664-0455
Practice Address - Fax:601-664-1675
Is Sole Proprietor?:No
Enumeration Date:2008-09-11
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC52611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSC5261OtherSOCIAL WORK LICENSE
512I800037Medicare PIN