Provider Demographics
NPI:1003840554
Name:SCHULZ, LINDA (LCSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:SCHULZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LIGHTHOUSE INTERNATIONAL 170 HAMILTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-1715
Mailing Address - Country:US
Mailing Address - Phone:914-683-7543
Mailing Address - Fax:914-686-5605
Practice Address - Street 1:LIGHTHOUSE INTERNATIONAL 170 HAMILTON AVENUE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-1715
Practice Address - Country:US
Practice Address - Phone:914-683-7543
Practice Address - Fax:914-686-5605
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR019918-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYS50517Medicare UPIN
NYLSON6K5410Medicare ID - Type UnspecifiedEMPIRE MEDICARE PROVIDER