Provider Demographics
NPI:1639217532
Name:LITTLEFIELD, LINDA A (LICSW, CADAC)
Entity Type:Individual
Prefix:PROF
First Name:LINDA
Middle Name:A
Last Name:LITTLEFIELD
Suffix:
Gender:F
Credentials:LICSW, CADAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 BRIDGE ST
Mailing Address - Street 2:SUITE 215
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1270
Mailing Address - Country:US
Mailing Address - Phone:978-459-2306
Mailing Address - Fax:978-453-9394
Practice Address - Street 1:81 BRIDGE ST
Practice Address - Street 2:SUITE 215
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1270
Practice Address - Country:US
Practice Address - Phone:978-459-2306
Practice Address - Fax:978-453-9394
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN104574101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP23450Medicare UPIN