Provider Demographics
NPI:1851445951
Name:OKPALEKE, LINDA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:OKPALEKE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:E
Other - Middle Name:LINDA
Other - Last Name:OKPALEKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:10434 BIG BEND RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63122-6451
Mailing Address - Country:US
Mailing Address - Phone:314-757-8984
Mailing Address - Fax:
Practice Address - Street 1:10434 BIG BEND RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63122-6451
Practice Address - Country:US
Practice Address - Phone:314-757-8984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0039461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical