Provider Demographics
NPI:1891085403
Name:SCHIAVONE, LINDA ANN (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:ANN
Last Name:SCHIAVONE
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 PENATAQUIT DR
Mailing Address - Street 2:
Mailing Address - City:BRIGHTWATERS
Mailing Address - State:NY
Mailing Address - Zip Code:11718-1212
Mailing Address - Country:US
Mailing Address - Phone:631-968-0522
Mailing Address - Fax:631-665-3276
Practice Address - Street 1:14 PENATAQUIT DR
Practice Address - Street 2:
Practice Address - City:BRIGHTWATERS
Practice Address - State:NY
Practice Address - Zip Code:11718-1212
Practice Address - Country:US
Practice Address - Phone:631-968-0522
Practice Address - Fax:631-665-3276
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-15
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR-047457-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical