Provider Demographics
NPI:1245465921
Name:KURTZ, LINDA S (MSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:S
Last Name:KURTZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-1636
Mailing Address - Country:US
Mailing Address - Phone:914-967-5530
Mailing Address - Fax:
Practice Address - Street 1:411 THEODORE FREMD AVE
Practice Address - Street 2:SUITE 206 SOUTH
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-1410
Practice Address - Country:US
Practice Address - Phone:914-967-5530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-25
Last Update Date:2009-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR033318-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical