Provider Demographics
NPI:1124092382
Name:BLUME, LINDA SCHLAMOWITZ (LCSW LMFT)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:SCHLAMOWITZ
Last Name:BLUME
Suffix:
Gender:F
Credentials:LCSW LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 BEECHNUT
Mailing Address - Street 2:SUITE #392
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-4337
Mailing Address - Country:US
Mailing Address - Phone:713-995-8008
Mailing Address - Fax:
Practice Address - Street 1:7500 BEECHNUT
Practice Address - Street 2:SUITE #392
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-4337
Practice Address - Country:US
Practice Address - Phone:713-995-8008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLCSW043171041C0700X
TXLMFT03764106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
128852OtherMHN
2866OtherANTHEM EAP
105784OtherMAGELLAN
5073371OtherAETNA
82975OtherFIRST HEALTH
00S35BMedicare UPIN
82975OtherFIRST HEALTH