Individual
MRS. PATRICIA LINK FULKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212
(502) 774-8631
(502) 778-3499
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700
(502) 772-8189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1934
KY
1041C0700X
Clinical Social Worker
34004682A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100129170
—
KY
Enumeration date
03/15/2007
Last updated
09/12/2025
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