Provider Demographics
NPI:1780871103
Name:SPALLINA, LINDA MARIE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MARIE
Last Name:SPALLINA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:MARIE
Other - Last Name:GUNDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:9 SOUTH TRL
Mailing Address - Street 2:
Mailing Address - City:SHOREHAM
Mailing Address - State:NY
Mailing Address - Zip Code:11786-2241
Mailing Address - Country:US
Mailing Address - Phone:516-865-7805
Mailing Address - Fax:
Practice Address - Street 1:9 SOUTH TRL
Practice Address - Street 2:
Practice Address - City:SHOREHAM
Practice Address - State:NY
Practice Address - Zip Code:11786
Practice Address - Country:US
Practice Address - Phone:516-865-7805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-30
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY72-0751971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical