Provider Demographics
NPI:1376769620
Name:ZELTNER, LINDA J (LCSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:J
Last Name:ZELTNER
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 1:640 PETUNIA DR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-1926
Mailing Address - Country:US
Mailing Address - Phone:954-792-6337
Mailing Address - Fax:954-792-5658
Practice Address - Street 1:640 PETUNIA DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1926
Practice Address - Country:US
Practice Address - Phone:954-792-6337
Practice Address - Fax:954-792-5658
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW35581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ5980Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER