Provider Demographics
NPI:1801375092
Name:LINDA R THORPE, LCSW, LLC
Entity Type:Organization
Organization Name:LINDA R THORPE, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:THORPE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-232-0698
Mailing Address - Street 1:51 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06762-1718
Mailing Address - Country:US
Mailing Address - Phone:203-232-0698
Mailing Address - Fax:
Practice Address - Street 1:LITCHFIELD HILLS HEALING CENTER
Practice Address - Street 2:760 BANTAM RD.
Practice Address - City:BANTAM
Practice Address - State:CT
Practice Address - Zip Code:06750
Practice Address - Country:US
Practice Address - Phone:203-232-0698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-09
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
0085171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty