Provider Demographics
NPI:1053566760
Name:LATONA, LINDA (SOCIAL WORKER)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:LATONA
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 HARRISON AVE STE 302A
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-3151
Mailing Address - Country:US
Mailing Address - Phone:914-391-5084
Mailing Address - Fax:914-381-0699
Practice Address - Street 1:1600 HARRISON AVE STE 302A
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3151
Practice Address - Country:US
Practice Address - Phone:914-391-5084
Practice Address - Fax:914-381-0699
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0797451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical