Healthcare Provider Details

I. General information

NPI: 1093260127
Provider Name (Legal Business Name): LINDA GISELLE TIMME LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2016
Last Update Date: 10/08/2022
Certification Date: 10/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 FOREST HILLS DR STE 38
HARRISBURG PA
17112-1099
US

IV. Provider business mailing address

100 E CARROLL ST
SALISBURY MD
21801-5422
US

V. Phone/Fax

Practice location:
  • Phone: 717-743-0765
  • Fax: 717-540-5151
Mailing address:
  • Phone: 410-543-7162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number28096
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW019454
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: