Provider Demographics
NPI:1881987097
Name:ALLEN- STUART, LINDA (LCSW)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:ALLEN- STUART
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21732 DARROWBY
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-3088
Mailing Address - Country:US
Mailing Address - Phone:949-290-5355
Mailing Address - Fax:
Practice Address - Street 1:21732 DARROWBY
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-3088
Practice Address - Country:US
Practice Address - Phone:949-290-5355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS93141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical