Provider Demographics
NPI:1992093413
Name:SARIGIANNIS, LINDA MARIE (MSW)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:MARIE
Last Name:SARIGIANNIS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11111 HALL RD
Mailing Address - Street 2:SUITE, 210C
Mailing Address - City:UTICA
Mailing Address - State:MI
Mailing Address - Zip Code:48317-5711
Mailing Address - Country:US
Mailing Address - Phone:248-689-7855
Mailing Address - Fax:888-273-5697
Practice Address - Street 1:11111 HALL RD
Practice Address - Street 2:SUITE, 210C
Practice Address - City:UTICA
Practice Address - State:MI
Practice Address - Zip Code:48317-5711
Practice Address - Country:US
Practice Address - Phone:248-689-7855
Practice Address - Fax:888-273-5697
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010343161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI383137548Medicare PIN