Provider Demographics
NPI:1093260127
Name:TIMME, LINDA GISELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:GISELLE
Last Name:TIMME
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E CARROLL ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-5422
Mailing Address - Country:US
Mailing Address - Phone:410-543-7162
Mailing Address - Fax:
Practice Address - Street 1:2215 FOREST HILLS DR
Practice Address - Street 2:STE 38
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1099
Practice Address - Country:US
Practice Address - Phone:717-743-0765
Practice Address - Fax:717-540-5151
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-18
Last Update Date:2022-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD280961041C0700X
PACW0194541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103324918Medicaid