Healthcare Provider Details

I. General information

NPI: 1760350284
Provider Name (Legal Business Name): CHARLOTTE FRANCES LINEHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FEDERAL ST
SPRINGFIELD MA
01105-1199
US

IV. Provider business mailing address

1 FEDERAL ST
SPRINGFIELD MA
01105-1199
US

V. Phone/Fax

Practice location:
  • Phone: 413-877-9599
  • Fax:
Mailing address:
  • Phone: 413-877-9599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: