Provider Demographics
NPI:1770821951
Name:KIRALY, LINDA GALE (LCSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:GALE
Last Name:KIRALY
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 1:104 WOODMONT CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-8507
Mailing Address - Country:US
Mailing Address - Phone:803-727-6997
Mailing Address - Fax:
Practice Address - Street 1:104 WOODMONT CT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-8507
Practice Address - Country:US
Practice Address - Phone:803-727-6997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-23
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC61871041C0700X
FLSW161051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical