Provider Demographics
NPI:1477959476
Name:ANDERBERG, LINDA (LICSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:ANDERBERG
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:TROUTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:686 WASHINGTON ST
Mailing Address - Street 2:APT. 1
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-4564
Mailing Address - Country:US
Mailing Address - Phone:860-913-6402
Mailing Address - Fax:
Practice Address - Street 1:686 WASHINGTON ST
Practice Address - Street 2:APT. 1
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-4564
Practice Address - Country:US
Practice Address - Phone:860-913-6402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-18
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1178371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical