Healthcare Provider Details

I. General information

NPI: 1013032309
Provider Name (Legal Business Name): LINDA MARIE HARDIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS LINDA MARIE LASALA

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29645 RANCHO CALIF RD #238
TEMECULA CA
92591
US

IV. Provider business mailing address

29645 RANCHO CALIFORNIA RD STE 238
TEMECULA CA
92591-5211
US

V. Phone/Fax

Practice location:
  • Phone: 951-693-0708
  • Fax: 951-308-1515
Mailing address:
  • Phone: 951-264-5362
  • Fax: 951-693-1010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS10802
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: