Provider Demographics
NPI:1649340944
Name:PASSEY, LINDA SUE (LCSW(LICENSED CLINIC)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:SUE
Last Name:PASSEY
Suffix:
Gender:F
Credentials:LCSW(LICENSED CLINIC
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:SUE
Other - Last Name:PASSEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:81 GREGORY LANE SUITE 220
Mailing Address - Street 2:LINDA PASSEY, LCSW
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523
Mailing Address - Country:US
Mailing Address - Phone:925-274-3678
Mailing Address - Fax:925-686-2476
Practice Address - Street 1:81 GREGORY LANE SUITE 220
Practice Address - Street 2:LINDA PASSEY, LCSW
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523
Practice Address - Country:US
Practice Address - Phone:925-274-3678
Practice Address - Fax:925-686-2476
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA159731041C0700X
UT136241-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical