Provider Demographics
NPI:1598099079
Name:MILLER-DOWIE, LINDA JUSTINE (LCSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:JUSTINE
Last Name:MILLER-DOWIE
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 1:2320 3RD ST S
Mailing Address - Street 2:SUITE 3
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250-4058
Mailing Address - Country:US
Mailing Address - Phone:904-246-5001
Mailing Address - Fax:904-246-5152
Practice Address - Street 1:2320 3RD ST S
Practice Address - Street 2:SUITE 3
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-4058
Practice Address - Country:US
Practice Address - Phone:904-246-5001
Practice Address - Fax:904-246-5152
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2014-08-11
Deactivation Date:2014-08-04
Deactivation Code:
Reactivation Date:2014-08-11
Provider Licenses
StateLicense IDTaxonomies
FLSW30111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ4949AMedicare PIN