Provider Demographics
NPI:1831292762
Name:BEELER, LINDA GAY (MSW)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:GAY
Last Name:BEELER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 WEST 76 STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-8404
Mailing Address - Country:US
Mailing Address - Phone:212-595-6747
Mailing Address - Fax:
Practice Address - Street 1:174 WEST 76 STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-8404
Practice Address - Country:US
Practice Address - Phone:212-595-6747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNYR-025590-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical