Provider Demographics
NPI:1386948826
Name:WELLS, LINDA SUE (LCSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:SUE
Last Name:WELLS
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 1:27 E VICTORIA ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2619
Mailing Address - Country:US
Mailing Address - Phone:805-965-1651
Mailing Address - Fax:805-845-6738
Practice Address - Street 1:27 E VICTORIA ST
Practice Address - Street 2:SUITE D
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2619
Practice Address - Country:US
Practice Address - Phone:805-965-1651
Practice Address - Fax:805-845-6738
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-24
Last Update Date:2010-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA128841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical