Provider Demographics
NPI:1073677274
Name:KATZ, LINDA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:KATZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MR
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:KATZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:26 SEALY DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-2419
Mailing Address - Country:US
Mailing Address - Phone:516-569-5894
Mailing Address - Fax:516-569-7565
Practice Address - Street 1:124 CEDARHURST AVE
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-2160
Practice Address - Country:US
Practice Address - Phone:516-902-4830
Practice Address - Fax:516-569-7565
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0702801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN576T1Medicare UPIN