Provider Demographics
NPI:1124265095
Name:CASTLE, LINDA FAYE (MSW)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:FAYE
Last Name:CASTLE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11835 W OLYMPIC BLVD STE 1090
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-5006
Mailing Address - Country:US
Mailing Address - Phone:310-473-4448
Mailing Address - Fax:310-477-1315
Practice Address - Street 1:11835 W OLYMPIC BLVD STE 1090
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-5006
Practice Address - Country:US
Practice Address - Phone:310-473-4448
Practice Address - Fax:310-477-1315
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-14
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical