Provider Demographics
NPI:1962897652
Name:LINDE-KRIEGER, LINNEA (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:LINNEA
Middle Name:
Last Name:LINDE-KRIEGER
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 E EXETER ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-5529
Mailing Address - Country:US
Mailing Address - Phone:510-703-1484
Mailing Address - Fax:
Practice Address - Street 1:2909 E EXETER ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-5529
Practice Address - Country:US
Practice Address - Phone:510-703-1484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-31
Last Update Date:2021-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
AZLMSW 13871104100000X
AZLCSW-157661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker