Provider Demographics
NPI:1760401269
Name:KYLE-RIMKUS, LINDA (LCSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:KYLE-RIMKUS
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 1:9570 PERRETT LN
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:IL
Mailing Address - Zip Code:61008-7058
Mailing Address - Country:US
Mailing Address - Phone:815-547-5042
Mailing Address - Fax:815-398-2877
Practice Address - Street 1:9570 PERRETT LN
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:IL
Practice Address - Zip Code:61008-7058
Practice Address - Country:US
Practice Address - Phone:815-262-0146
Practice Address - Fax:815-544-3392
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490085221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical