Provider Demographics
NPI:1154469781
Name:RIZZI, LINDA G (LCSWR, BCD)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:G
Last Name:RIZZI
Suffix:
Gender:F
Credentials:LCSWR, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SCHOOL HOUSE ROAD
Mailing Address - Street 2:
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804
Mailing Address - Country:US
Mailing Address - Phone:518-668-4375
Mailing Address - Fax:
Practice Address - Street 1:71 LAWRENCE ST STE 102
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-3777
Practice Address - Country:US
Practice Address - Phone:518-668-9555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0336361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical