Provider Demographics
NPI:1205918190
Name:ZAFFRAM, LINDA LYNN (LCSW)
Entity type:Individual
Prefix:MISS
First Name:LINDA
Middle Name:LYNN
Last Name:ZAFFRAM
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 1:8401 MAYLAND DR STE C
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4648
Mailing Address - Country:US
Mailing Address - Phone:804-482-0852
Mailing Address - Fax:804-729-3525
Practice Address - Street 1:8401 MAYLAND DR STE C
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4648
Practice Address - Country:US
Practice Address - Phone:804-482-0852
Practice Address - Fax:804-729-3525
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040063971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical