Provider Demographics
NPI:1164805453
Name:NORDQUIST, LINDA JOY
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:JOY
Last Name:NORDQUIST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 COLUMBUS ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701
Mailing Address - Country:US
Mailing Address - Phone:605-342-8028
Mailing Address - Fax:605-388-8861
Practice Address - Street 1:7114 MEADE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15208-2453
Practice Address - Country:US
Practice Address - Phone:605-877-4354
Practice Address - Fax:605-443-8880
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-04
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD47631041C0700X
PACW0187511041C0700X
NCC0025221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical