Provider Demographics
NPI:1003612656
Name:GOLDMINTZ, LINDA (MSW, DSW)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:GOLDMINTZ
Suffix:
Gender:
Credentials:MSW, DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1099 SUSSEX RD
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2771
Mailing Address - Country:US
Mailing Address - Phone:201-214-1762
Mailing Address - Fax:
Practice Address - Street 1:1099 SUSSEX RD
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-2771
Practice Address - Country:US
Practice Address - Phone:201-214-1762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC005292001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical