Provider Demographics
NPI:1053022913
Name:STARKEY, KORINE LINDA (MSW, LSW)
Entity type:Individual
Prefix:
First Name:KORINE
Middle Name:LINDA
Last Name:STARKEY
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5582 EARHART AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-6285
Mailing Address - Country:US
Mailing Address - Phone:614-601-3816
Mailing Address - Fax:
Practice Address - Street 1:649 MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:GROVEPORT
Practice Address - State:OH
Practice Address - Zip Code:43125-1420
Practice Address - Country:US
Practice Address - Phone:614-916-7005
Practice Address - Fax:614-916-3055
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical