Provider Demographics
NPI:1891448304
Name:LESSNER, LINDA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:LESSNER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 W 101ST ST APT 8K
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5035
Mailing Address - Country:US
Mailing Address - Phone:646-937-4960
Mailing Address - Fax:
Practice Address - Street 1:210 W 101ST ST
Practice Address - Street 2:8K
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5035
Practice Address - Country:US
Practice Address - Phone:646-937-4960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016847-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker