Provider Demographics
NPI:1457591034
Name:LINDA MCCAUSLIN PA
Entity type:Organization
Organization Name:LINDA MCCAUSLIN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCAUSLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-223-0024
Mailing Address - Street 1:264 CENTER RD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-5514
Mailing Address - Country:US
Mailing Address - Phone:941-223-0024
Mailing Address - Fax:941-223-0024
Practice Address - Street 1:264 CENTER RD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-5514
Practice Address - Country:US
Practice Address - Phone:941-223-0024
Practice Address - Fax:941-223-0024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW78161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty