Doctor Name: | MS. LINDA ANN SANTANELLO |
NPI Number: | 1053556613 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-R |
License Number: | |
Business Practice Address: | 464-10 William Floyd Parkway Shirley, NY - 11967 |
Business Phone Number: | 6313999217 |
Business Fax Number: | 6313999225 |
Mailing Address: | 464-10 William Floyd Parkway, SHIRLEY |
State: | NY |
Postal Code: | 11967 |
Phone Number: | 6313999217 |
Fax Number: | 6313999225 |
NPI Enumeration Date: | 12/11/2008 |
NPI Last Update Date: | 12/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |