Provider Demographics
NPI:1386756856
Name:FALASCO, LINDA (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:FALASCO
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 BISHOP HOLLOW RD STE E
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-3228
Mailing Address - Country:US
Mailing Address - Phone:484-571-8010
Mailing Address - Fax:
Practice Address - Street 1:17 BISHOP HOLLOW RD STE E
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-3228
Practice Address - Country:US
Practice Address - Phone:484-571-8010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0128751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical