Healthcare Provider Details

I. General information

NPI: 1831245000
Provider Name (Legal Business Name): LINDA WALTER CSW-R
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

369 ASHFORD AVE
DOBBS FERRY NY
10522-2626
US

IV. Provider business mailing address

PO BOX 121
IRVINGTON NY
10533-0121
US

V. Phone/Fax

Practice location:
  • Phone: 914-282-7123
  • Fax: 914-333-0423
Mailing address:
  • Phone: 914-282-3868
  • Fax: 914-333-0423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR040395
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: