Provider Demographics
NPI:1528088218
Name:DALEY, LINDA THERESA (LCSW)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:THERESA
Last Name:DALEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:THERESA
Other - Last Name:DALEY-O'BRIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:10 PICKWICK RD
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3314
Mailing Address - Country:US
Mailing Address - Phone:516-627-9042
Mailing Address - Fax:516-627-9042
Practice Address - Street 1:10 PICKWICK RD
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3314
Practice Address - Country:US
Practice Address - Phone:516-627-9042
Practice Address - Fax:516-627-9042
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR038214-11041C0700X
MA1120391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical