Provider Demographics
NPI:1942376363
Name:WEINMAN, LINDA (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:WEINMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 BROADWAY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2761
Mailing Address - Country:US
Mailing Address - Phone:973-615-6174
Mailing Address - Fax:973-492-8385
Practice Address - Street 1:92 BROADWAY
Practice Address - Street 2:SUITE 203
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2761
Practice Address - Country:US
Practice Address - Phone:973-615-6174
Practice Address - Fax:973-492-8385
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC04795200101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health