Provider Demographics
NPI:1700919545
Name:MARCHETTI, LINDA B (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:B
Last Name:MARCHETTI
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 SOCKANOSSET CROSS RD
Mailing Address - Street 2:STE 1-B
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-5557
Mailing Address - Country:US
Mailing Address - Phone:401-228-8930
Mailing Address - Fax:401-228-8710
Practice Address - Street 1:63 SOCKANOSSET CROSS RD
Practice Address - Street 2:STE 1-B
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-5557
Practice Address - Country:US
Practice Address - Phone:401-228-8930
Practice Address - Fax:401-228-8710
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILSW00333104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker