Provider Demographics
NPI:1033266861
Name:SLATNICK, LINDA Z (MSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:Z
Last Name:SLATNICK
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6444
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08875
Mailing Address - Country:US
Mailing Address - Phone:732-208-4675
Mailing Address - Fax:570-402-1144
Practice Address - Street 1:1279 46 EAST
Practice Address - Street 2:BUILDING C
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054
Practice Address - Country:US
Practice Address - Phone:732-208-4675
Practice Address - Fax:570-402-1144
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC006719001041C0700X
NJ37F100128900106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist