Provider Demographics
NPI:1033483375
Name:ELLIOTT, LINDA CATHLEEN (PHD, LISW-S)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:CATHLEEN
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:PHD, LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2373 EUCLID HEIGHTS BLVD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44106-2716
Mailing Address - Country:US
Mailing Address - Phone:216-373-2000
Mailing Address - Fax:216-373-2020
Practice Address - Street 1:2373 EUCLID HEIGHTS BLVD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44106-2716
Practice Address - Country:US
Practice Address - Phone:216-373-2000
Practice Address - Fax:216-373-2020
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI0029679104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker