Provider Demographics
NPI:1184343030
Name:GRINT, LINETTE AILEEN (LCSW)
Entity type:Individual
Prefix:
First Name:LINETTE
Middle Name:AILEEN
Last Name:GRINT
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 1:14348 GRAYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-4948
Mailing Address - Country:US
Mailing Address - Phone:562-293-8298
Mailing Address - Fax:
Practice Address - Street 1:14348 GRAYLAND AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-4948
Practice Address - Country:US
Practice Address - Phone:562-293-8298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1038021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical