Healthcare Provider Details

I. General information

NPI: 1245370337
Provider Name (Legal Business Name): MS. LINDA SUSAN GARVEY-DICKEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 DERBY ST STE 1
HINGHAM MA
02043-3738
US

IV. Provider business mailing address

872 FURNACE BROOK PKWY
QUINCY MA
02169-1711
US

V. Phone/Fax

Practice location:
  • Phone: 781-740-1522
  • Fax:
Mailing address:
  • Phone: 617-472-6828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1336
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3102
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberLMHC 3102
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: