Provider Demographics
NPI:1619460615
Name:LINDNER, ERICA (LICSW)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:LINDNER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 WASHINGTON ST STE 310
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-5000
Mailing Address - Country:US
Mailing Address - Phone:617-528-0415
Mailing Address - Fax:
Practice Address - Street 1:1000 WASHINGTON ST STE 310
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-5000
Practice Address - Country:US
Practice Address - Phone:617-790-5662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-13
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1148451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical