Provider Demographics
NPI:1942310735
Name:CRONIN, LINDA SUSAN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:SUSAN
Last Name:CRONIN
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 1:11 VALLEY VIEW CT
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13904-2814
Mailing Address - Country:US
Mailing Address - Phone:607-775-3007
Mailing Address - Fax:570-278-6887
Practice Address - Street 1:26 PUBLIC AVE
Practice Address - Street 2:67 MAIN STREET BINGHAMTON NY 13905
Practice Address - City:MONTROSE
Practice Address - State:PA
Practice Address - Zip Code:18801-1241
Practice Address - Country:US
Practice Address - Phone:570-278-9259
Practice Address - Fax:570-278-6887
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0129651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical