Provider Demographics
NPI:1669600045
Name:SINGLETARY, LINDA MARIE
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:MARIE
Last Name:SINGLETARY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:MARIE
Other - Last Name:SINGLETARY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, CLINICAL & MACR
Mailing Address - Street 1:5235 ARUBA CIR
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-5795
Mailing Address - Country:US
Mailing Address - Phone:706-339-1440
Mailing Address - Fax:
Practice Address - Street 1:1 FREEDOM WAY
Practice Address - Street 2:CHARLIE NORWOOD VA MEDICAL CENTER
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904
Practice Address - Country:US
Practice Address - Phone:706-733-0188
Practice Address - Fax:706-733-0188
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010751101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical