Provider Demographics
NPI:1154808970
Name:MCLENNAN, LINDA LORRAINE (MSW)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:LORRAINE
Last Name:MCLENNAN
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 1:1 WIGWAM CIR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-1166
Mailing Address - Country:US
Mailing Address - Phone:603-926-4969
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:1 WIGWAM CIR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-1166
Practice Address - Country:US
Practice Address - Phone:603-926-4969
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10153231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical