Provider Demographics
NPI:1881739654
Name:RUMBOLD, LINDA KATHLEEN (LCSWR)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:KATHLEEN
Last Name:RUMBOLD
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 LOCHLAND DRIVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14225-1629
Mailing Address - Country:US
Mailing Address - Phone:716-390-3333
Mailing Address - Fax:716-883-7637
Practice Address - Street 1:11 LOCHLAND DRIVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14225-1629
Practice Address - Country:US
Practice Address - Phone:716-390-3333
Practice Address - Fax:716-883-7637
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY06972611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical