Provider Demographics
NPI:1699811927
Name:PADROFF, LINDA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:PADROFF
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 1:18 N BEECH TREE RD
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-3500
Mailing Address - Country:US
Mailing Address - Phone:845-279-5994
Mailing Address - Fax:845-279-7678
Practice Address - Street 1:2505 CARMEL AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-1122
Practice Address - Country:US
Practice Address - Phone:845-279-5994
Practice Address - Fax:845-279-7678
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR044115-11041C0700X
CT0039201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM7334144OtherGHI
NY374353OtherVALUE OPTIONS
KY209908OtherMHN