Provider Demographics
NPI:1043999717
Name:POWERS, LINDA (MSW,LISW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:POWERS
Suffix:
Gender:F
Credentials:MSW,LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8803 BRECKSVILLE RD STE 7-141
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-1932
Mailing Address - Country:US
Mailing Address - Phone:440-503-4207
Mailing Address - Fax:
Practice Address - Street 1:10044 HUNTING DR
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-3645
Practice Address - Country:US
Practice Address - Phone:440-503-4207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-00051031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical