Provider Demographics
NPI:1790468379
Name:DEMOSTHENES, LINDA SUZANNE (MSW, LISW-S)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:SUZANNE
Last Name:DEMOSTHENES
Suffix:
Gender:F
Credentials:MSW, LISW-S
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:SUZANNE
Other - Last Name:STRAUB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1650 ROBINWAY DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-2237
Mailing Address - Country:US
Mailing Address - Phone:216-410-6300
Mailing Address - Fax:
Practice Address - Street 1:1650 ROBINWAY DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-2237
Practice Address - Country:US
Practice Address - Phone:216-410-6300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.00083521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical