MEDICARE: MS. LINDA ZANDER ALTUS LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	L1588636	MI

General Provider Information

NPI Number	:	1073884698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA ZANDER ALTUS LMSW

Provider Business Mailing Address
First Line	:	13362 BALFOUR AVE
Second Line	:
City	:	HUNTINGTON WOODS
State	:	MI
Zip	:	48070-1730
Country	:	US
Telephone Number	:	248-547-8819
Fax Number	:	248-547-8819

Provider Business Practice Location Address
First Line	:	13362 BALFOUR AVE
Second Line	:
City	:	HUNTINGTON WOODS
State	:	MI
Zip	:	48070-1703
Country	:	US
Telephone Number	:	248-547-8819
Fax Number	:	248-547-8819

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2012
Last Update Date	:	05/03/2026

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