Provider Demographics
NPI:1851284699
Name:FICCAGLIA, LINNET KYUNG (LSW)
Entity type:Individual
Prefix:MS
First Name:LINNET
Middle Name:KYUNG
Last Name:FICCAGLIA
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 W LANDIS AVE STE A-2
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-8133
Mailing Address - Country:US
Mailing Address - Phone:856-772-5809
Mailing Address - Fax:856-772-5809
Practice Address - Street 1:60 W LANDIS AVE STE A-2
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-8133
Practice Address - Country:US
Practice Address - Phone:856-772-5809
Practice Address - Fax:856-772-5809
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL07268900104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker