Provider Demographics
NPI:1366498040
Name:PERLIN, LINDA MASON (MSW)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MASON
Last Name:PERLIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-4913
Mailing Address - Country:US
Mailing Address - Phone:609-392-1882
Mailing Address - Fax:609-396-3782
Practice Address - Street 1:330 N HARRISON ST
Practice Address - Street 2:STE. 6
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3524
Practice Address - Country:US
Practice Address - Phone:609-924-8809
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC002866001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical