Provider Demographics
NPI:1144028564
Name:LINDER, KEVIN GERARD (LGSW)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:GERARD
Last Name:LINDER
Suffix:
Gender:M
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:646 NEWTON PL NW UNIT 101
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-1968
Mailing Address - Country:US
Mailing Address - Phone:404-380-9026
Mailing Address - Fax:
Practice Address - Street 1:1606 20TH ST NW FL 3
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-1080
Practice Address - Country:US
Practice Address - Phone:202-525-4086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG200003179104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker