Provider Demographics
NPI:1225159387
Name:SIEMER, LINDA (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:SIEMER
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE BELGRAVE MEW
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940
Mailing Address - Country:US
Mailing Address - Phone:845-344-5699
Mailing Address - Fax:
Practice Address - Street 1:19 DEWITT ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-3913
Practice Address - Country:US
Practice Address - Phone:845-551-6075
Practice Address - Fax:845-344-5699
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR042063-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical