Provider Demographics
NPI:1619181443
Name:MEYER, LINDA NORMENT (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:NORMENT
Last Name:MEYER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 W 80TH ST
Mailing Address - Street 2:APARTMENT 2R
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6365
Mailing Address - Country:US
Mailing Address - Phone:212-362-5973
Mailing Address - Fax:212-362-5973
Practice Address - Street 1:123 W 79TH ST
Practice Address - Street 2:SUITE PH-5
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6480
Practice Address - Country:US
Practice Address - Phone:646-245-2838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY076486-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical