Provider Demographics
NPI:1770618472
Name:BOWDEN, LINDA J (LCSW-R)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:J
Last Name:BOWDEN
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:J
Other - Last Name:BLOWES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:55 HORIZON DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-4436
Mailing Address - Country:US
Mailing Address - Phone:631-920-8000
Mailing Address - Fax:
Practice Address - Street 1:55 HORIZON DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-4436
Practice Address - Country:US
Practice Address - Phone:631-920-8000
Practice Address - Fax:631-920-8167
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2010-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0692121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical