Provider Demographics
NPI:1861572547
Name:ONUSKA, LINDA ANN (MSW)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:ANN
Last Name:ONUSKA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 SPLIT ROCK
Mailing Address - Street 2:NAGOG WOODS
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01718-1011
Mailing Address - Country:US
Mailing Address - Phone:978-263-5190
Mailing Address - Fax:
Practice Address - Street 1:161 SPLIT ROCK
Practice Address - Street 2:NAGOG WOODS
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01718-1011
Practice Address - Country:US
Practice Address - Phone:978-263-5190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1004851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ON-PO1311Medicare ID - Type Unspecified