Provider Demographics
NPI:1285694356
Name:KENNEDY-HASSEL, LINDA A (LCSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:A
Last Name:KENNEDY-HASSEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 SPRINGMONT DR
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-4014
Mailing Address - Country:US
Mailing Address - Phone:610-698-0990
Mailing Address - Fax:866-202-9017
Practice Address - Street 1:4 PARK PLAZA
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-4014
Practice Address - Country:US
Practice Address - Phone:610-743-0544
Practice Address - Fax:866-202-9017
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0-150331041C0700X
PACW0150331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical