Provider Demographics
NPI:1538201835
Name:BLOCH, LINDA H (MS LCSW)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:H
Last Name:BLOCH
Suffix:
Gender:F
Credentials:MS LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MCMAHON PL
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-1700
Mailing Address - Country:US
Mailing Address - Phone:914-320-1324
Mailing Address - Fax:
Practice Address - Street 1:10 MCMAHON PLACE
Practice Address - Street 2:
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541-1705
Practice Address - Country:US
Practice Address - Phone:845-628-9595
Practice Address - Fax:845-628-9597
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0139611104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker