Provider Demographics
NPI:1285780544
Name:SKALE, LINDA (LCSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:SKALE
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 1:7211 HAVEN AVE
Mailing Address - Street 2:PMB 341
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91701-6064
Mailing Address - Country:US
Mailing Address - Phone:909-908-2352
Mailing Address - Fax:
Practice Address - Street 1:7211 HAVEN AVE
Practice Address - Street 2:PMB 341
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91701-6064
Practice Address - Country:US
Practice Address - Phone:909-908-2352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 105731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASW10573AMedicare ID - Type Unspecified
CAR78930Medicare UPIN
CASW10573CMedicare ID - Type Unspecified
CASW10573BMedicare ID - Type Unspecified