Healthcare Provider Details

I. General information

NPI: 1275886046
Provider Name (Legal Business Name): ANTHONY PAUL LINNEN LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2012
Last Update Date: 11/01/2025
Certification Date: 11/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 S FRANKLIN ST
WILKES BARRE PA
18702-3808
US

IV. Provider business mailing address

335 S FRANKLIN ST
WILKES BARRE PA
18702-3808
US

V. Phone/Fax

Practice location:
  • Phone: 570-825-6425
  • Fax: 570-762-9011
Mailing address:
  • Phone: 570-825-6425
  • Fax: 570-762-9013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW018477
License Number StatePA

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: