Provider Demographics
NPI:1306880315
Name:CHAMBERS, LINDA ELAINE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:ELAINE
Last Name:CHAMBERS
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 1:1503 MIFFLIN ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-2019
Mailing Address - Country:US
Mailing Address - Phone:609-770-3947
Mailing Address - Fax:814-506-9423
Practice Address - Street 1:1503 MIFFLIN ST
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-2019
Practice Address - Country:US
Practice Address - Phone:609-770-3947
Practice Address - Fax:814-506-9423
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SCO51993001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ556794000OtherMAGELLAN MIS NUMBER
NJ007994474OtherAETNA MIS NUMBER