Provider Demographics
NPI:1952615254
Name:DANKO, LINDA R (LICSW)
Entity Type:Individual
Prefix:MISS
First Name:LINDA
Middle Name:R
Last Name:DANKO
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 1:13 PULASKI ST
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-3205
Mailing Address - Country:US
Mailing Address - Phone:978-532-3600
Mailing Address - Fax:978-531-7429
Practice Address - Street 1:13 PULASKI ST
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-3205
Practice Address - Country:US
Practice Address - Phone:978-532-3600
Practice Address - Fax:978-531-7429
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1103331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical