Provider Demographics
NPI:1558506790
Name:LINEHAN, DANIEL CONNOR (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:CONNOR
Last Name:LINEHAN
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 COLUMBIA TPKE BLDG 2
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1210
Mailing Address - Country:US
Mailing Address - Phone:973-271-6976
Mailing Address - Fax:
Practice Address - Street 1:248 COLUMBIA TPKE BLDG 2
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1210
Practice Address - Country:US
Practice Address - Phone:973-845-8430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SCO53352001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical