Provider Demographics
NPI:1063001436
Name:TORBERT, LINDA (LISW-S)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:TORBERT
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6172 WHITETAIL RUN
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44146-3188
Mailing Address - Country:US
Mailing Address - Phone:216-789-0909
Mailing Address - Fax:
Practice Address - Street 1:6172 WHITETAIL RUN
Practice Address - Street 2:
Practice Address - City:OAKWOOD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44146-3188
Practice Address - Country:US
Practice Address - Phone:216-789-0909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0009638101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH08071997Medicaid