Provider Demographics
NPI:1194876532
Name:PITAGORSKY, LINDA C (LCSW, MS)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:C
Last Name:PITAGORSKY
Suffix:
Gender:F
Credentials:LCSW, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 E 38TH ST
Mailing Address - Street 2:32D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-2651
Mailing Address - Country:US
Mailing Address - Phone:212-685-3235
Mailing Address - Fax:212-481-0344
Practice Address - Street 1:16 E 41ST ST
Practice Address - Street 2:4B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6217
Practice Address - Country:US
Practice Address - Phone:212-685-3235
Practice Address - Fax:212-481-0344
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR030840-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR030840-1OtherCSW LICENSE
NYR030840-1OtherCSW LICENSE