Provider Demographics
NPI:1235221474
Name:LETT, LINDA A (LICSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:A
Last Name:LETT
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:A
Other - Last Name:LETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICSW
Mailing Address - Street 1:8 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-1815
Mailing Address - Country:US
Mailing Address - Phone:603-335-3579
Mailing Address - Fax:
Practice Address - Street 1:95 WATER ST
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-3313
Practice Address - Country:US
Practice Address - Phone:603-524-5835
Practice Address - Fax:603-524-7862
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical