Provider Demographics
NPI:1023282126
Name:KLINGE, KATHERINE HELEN (LBSW)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:HELEN
Last Name:KLINGE
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 308
Mailing Address - Street 2:
Mailing Address - City:POSTVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52162-0308
Mailing Address - Country:US
Mailing Address - Phone:563-864-7122
Mailing Address - Fax:563-864-7123
Practice Address - Street 1:307 WILSON
Practice Address - Street 2:
Practice Address - City:POSTVILLE
Practice Address - State:IA
Practice Address - Zip Code:52162
Practice Address - Country:US
Practice Address - Phone:563-864-7122
Practice Address - Fax:563-864-7123
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA05362104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker