Provider Demographics
NPI:1821152026
Name:LINSLEY, JEANN LYNETTE (LCSW)
Entity Type:Individual
Prefix:
First Name:JEANN
Middle Name:LYNETTE
Last Name:LINSLEY
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 1:599 W END AVE APT 10C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-1753
Mailing Address - Country:US
Mailing Address - Phone:917-679-0136
Mailing Address - Fax:
Practice Address - Street 1:599 W END AVE APT 10C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-1753
Practice Address - Country:US
Practice Address - Phone:212-712-9430
Practice Address - Fax:212-712-9430
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR051276-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical