Provider Demographics
NPI:1427212273
Name:SHALEEN, LINDA KAY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:KAY
Last Name:SHALEEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:KAY
Other - Last Name:DRONEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1050 SEMILLON LANE
Mailing Address - Street 2:
Mailing Address - City:TEMPLETON
Mailing Address - State:CA
Mailing Address - Zip Code:93465
Mailing Address - Country:US
Mailing Address - Phone:805-226-4090
Mailing Address - Fax:805-221-6884
Practice Address - Street 1:212 MAIN STREET SUITE 201
Practice Address - Street 2:
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465
Practice Address - Country:US
Practice Address - Phone:805-226-4090
Practice Address - Fax:805-221-6884
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS186621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical