Provider Demographics
NPI:1689428906
Name:TIGA HERNANDEZ, LINDA MARILYN (LCSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:MARILYN
Last Name:TIGA HERNANDEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11592 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-7873
Mailing Address - Country:US
Mailing Address - Phone:954-937-3586
Mailing Address - Fax:
Practice Address - Street 1:11592 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-7873
Practice Address - Country:US
Practice Address - Phone:954-937-3586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALICSW11413541041C0700X
FLSW247711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical