Healthcare Provider Details

I. General information

NPI: 1447139605
Provider Name (Legal Business Name): LINDA PERELBERG LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BRADLEY RD
WOODBRIDGE CT
06525-2285
US

IV. Provider business mailing address

8 MAYFAIR LN
WESTPORT CT
06880-6009
US

V. Phone/Fax

Practice location:
  • Phone: 203-298-9005
  • Fax:
Mailing address:
  • Phone: 203-858-1643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16070
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: