| Organization Name: | LINDA HEINS, LCSW, LLC |
| NPI Number: | 1003106790 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA HEINS (LCSW) |
| Mailing Address: | 10001 Se Sunnyside Rd Ste 140 Clackamas |
| State: | OR US |
| Postal Code: | 970159804 |
| Phone Number: | 5036535205 |
| Fax Number: | 5036535219 |
| NPI Enumeration Date: | 04/14/2011 |
| NPI Last Update Date: | 04/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | L1800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |