Malcom, Linda G

Malcom, Linda G is an individual health care provider with primary practice located at 1000 Commercial Ln , Suffolk VA 23434-8148. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Malcom, Linda G can be contacted via phone (757) 942-1069.

Contact Information

Primary practice address
1000 Commercial Ln Suffolk VA 23434-8148
Phone: (757) 942-1069
Fax: (757) 942-2213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0904002870 Virginia

Profile Details

NPI number 1972590636
LBN Legal business name Malcom, Linda G
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972590636 NPPES
Virginia Other 270373 HEATHKEEPERS
Virginia Other 330036 HEATHKEEPERS
Virginia Other O85800A HEATHKEEPERS
Virginia MEDICAID 8904863 HEATHKEEPERS
Virginia Other 4945310 HEATHKEEPERS

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