Provider Demographics
NPI:1467697979
Name:SHERIDAN, LINDA JEAN (LPC, LCADC, NCC,)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:JEAN
Last Name:SHERIDAN
Suffix:
Gender:F
Credentials:LPC, LCADC, NCC,
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:JEAN
Other - Last Name:HICKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25 ROMAN ST
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08757-3909
Mailing Address - Country:US
Mailing Address - Phone:908-910-1255
Mailing Address - Fax:
Practice Address - Street 1:25 ROMAN ST
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08757-3909
Practice Address - Country:US
Practice Address - Phone:908-910-1255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00132200101YA0400X
NJ37PC00370200101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)