Provider Demographics
NPI:1760667158
Name:GALVAN-GRESSEL, LINDA REGINA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:REGINA
Last Name:GALVAN-GRESSEL
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 1:545 LOS COCHES
Mailing Address - Street 2:SUITE 112
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035
Mailing Address - Country:US
Mailing Address - Phone:408-849-1616
Mailing Address - Fax:408-261-3664
Practice Address - Street 1:545 LOS COCHES ST
Practice Address - Street 2:SUITE 112
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5483
Practice Address - Country:US
Practice Address - Phone:408-849-1616
Practice Address - Fax:408-261-3664
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-03
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 178881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical