Provider Demographics
NPI:1043208499
Name:GUHE, LINDA MARIE (MSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:GUHE
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 1:140 SHETLAND DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63125-3709
Mailing Address - Country:US
Mailing Address - Phone:314-862-7250
Mailing Address - Fax:314-862-5115
Practice Address - Street 1:140 SHETLAND DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63125-3709
Practice Address - Country:US
Practice Address - Phone:314-862-7250
Practice Address - Fax:314-862-5115
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-10
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW0049771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO026492OtherVMC BEHAVIORAL HEALTHCARE
MO186301OtherBCBS/MO
MO168853OtherMHN
MO000078289Medicare PIN
MO186301OtherBCBS/MO