Provider Demographics
NPI:1548423049
Name:JAME, LINDA (ACSW-R)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:JAME
Suffix:
Gender:F
Credentials:ACSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PINE ST
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-1305
Mailing Address - Country:US
Mailing Address - Phone:914-232-1668
Mailing Address - Fax:914-232-1668
Practice Address - Street 1:15 PINE ST
Practice Address - Street 2:
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-1305
Practice Address - Country:US
Practice Address - Phone:914-232-1668
Practice Address - Fax:914-232-1668
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR045702 11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical