Provider Demographics
NPI:1659618346
Name:LINDEN, LAURIE DAWN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:DAWN
Last Name:LINDEN
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 1:750 VETERANS PKWY UNIT 100
Mailing Address - Street 2:
Mailing Address - City:LAKE GENEVA
Mailing Address - State:WI
Mailing Address - Zip Code:53147-4950
Mailing Address - Country:US
Mailing Address - Phone:262-248-7942
Mailing Address - Fax:
Practice Address - Street 1:750 VETERANS PKWY UNIT 100
Practice Address - Street 2:
Practice Address - City:LAKE GENEVA
Practice Address - State:WI
Practice Address - Zip Code:53147-4950
Practice Address - Country:US
Practice Address - Phone:262-248-7942
Practice Address - Fax:262-249-7132
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7907-1231041C0700X
WI15595-131101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)