Provider Demographics
NPI:1033109640
Name:BELDIN-KORTER, LINDA MARIE (PHD/LCSW/CADCIII)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:BELDIN-KORTER
Suffix:
Gender:F
Credentials:PHD/LCSW/CADCIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16420 SE MCGILLIVRAY BLVD # 103-310
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-3461
Mailing Address - Country:US
Mailing Address - Phone:360-931-9122
Mailing Address - Fax:866-583-8290
Practice Address - Street 1:3301 LOS ARBOLES AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-1943
Practice Address - Country:US
Practice Address - Phone:505-800-7092
Practice Address - Fax:505-888-2851
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR17-10-02101YA0400X
AR9978-C1041C0700X
WALW000052411041C0700X
MI68010884491041C0700X
ORL32481041C0700X
NMC-106151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM98104730Medicaid
OR500699344Medicaid