Provider Demographics
NPI:1659083079
Name:HARTWELL, LINDA ANITA (LMSW, LMHC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:ANITA
Last Name:HARTWELL
Suffix:
Gender:F
Credentials:LMSW, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 TARRYTOWN RD # 1560
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10607-1313
Mailing Address - Country:US
Mailing Address - Phone:914-525-6212
Mailing Address - Fax:
Practice Address - Street 1:212 NORTH RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-2915
Practice Address - Country:US
Practice Address - Phone:914-525-6212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003334-01101YM0800X
NYPERMANENT1041S0200X
NY037920-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool