Provider Demographics
NPI:1336200278
Name:LOSI, LINDA A (RN, LCSW, CHT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:A
Last Name:LOSI
Suffix:
Gender:F
Credentials:RN, LCSW, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4631 CARTHAGE CIR N
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-7261
Mailing Address - Country:US
Mailing Address - Phone:561-351-0288
Mailing Address - Fax:561-637-2595
Practice Address - Street 1:5850 W ATLANTIC AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8429
Practice Address - Country:US
Practice Address - Phone:561-637-2592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical