Provider Demographics
NPI:1255663258
Name:DORREMOCEA, LINDA MARIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:MARIA
Last Name:DORREMOCEA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15829 FISHHAWK FALLS DR
Mailing Address - Street 2:
Mailing Address - City:LITHIA
Mailing Address - State:FL
Mailing Address - Zip Code:33547-3857
Mailing Address - Country:US
Mailing Address - Phone:727-831-0131
Mailing Address - Fax:813-654-7684
Practice Address - Street 1:15829 FISHHAWK FALLS DR
Practice Address - Street 2:
Practice Address - City:LITHIA
Practice Address - State:FL
Practice Address - Zip Code:33547-3857
Practice Address - Country:US
Practice Address - Phone:727-831-0131
Practice Address - Fax:813-654-7684
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-02
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 117211041C0700X, 101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional