Healthcare Provider Details

I. General information

NPI: 1093800765
Provider Name (Legal Business Name): LINDA CHARLAFF LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 TIMBERLOCH PL FL 2
SPRING TX
77380-1171
US

IV. Provider business mailing address

2 S LAKEMIST HARBOUR PL
SPRING TX
77381-3345
US

V. Phone/Fax

Practice location:
  • Phone: 516-330-1714
  • Fax:
Mailing address:
  • Phone: 516-330-1714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number110491
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC00363300
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00123000
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR030289-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: