Provider Demographics
NPI:1730701525
Name:SCATURRO, LINDA ANN (LCSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:ANN
Last Name:SCATURRO
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 1:2 SEAMAN RD
Mailing Address - Street 2:
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-1515
Mailing Address - Country:US
Mailing Address - Phone:516-903-9750
Mailing Address - Fax:
Practice Address - Street 1:2 SEAMAN RD
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-1515
Practice Address - Country:US
Practice Address - Phone:516-903-9750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-14
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY082761-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical