Provider Demographics
NPI:1134608185
Name:CHICHESTER, LINDA (LICSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:CHICHESTER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 MEADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-3707
Mailing Address - Country:US
Mailing Address - Phone:401-316-0833
Mailing Address - Fax:
Practice Address - Street 1:18 KING ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:MA
Practice Address - Zip Code:02056-1724
Practice Address - Country:US
Practice Address - Phone:508-541-7324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-10
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1020931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical