Provider Demographics
NPI:1225277981
Name:SOTNICK, LINDA DARA (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:DARA
Last Name:SOTNICK
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-2003
Mailing Address - Country:US
Mailing Address - Phone:973-467-4237
Mailing Address - Fax:973-379-4176
Practice Address - Street 1:51 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-2003
Practice Address - Country:US
Practice Address - Phone:973-467-4237
Practice Address - Fax:973-379-4176
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC045743001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical