Provider Demographics
NPI:1053953745
Name:SEARLES STONE, LINDA LEE (LCSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:LEE
Last Name:SEARLES STONE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:LEE
Other - Last Name:SEARLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:607 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT BEACH
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-3034
Mailing Address - Country:US
Mailing Address - Phone:732-895-4407
Mailing Address - Fax:
Practice Address - Street 1:721 AUTH AVE
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-2965
Practice Address - Country:US
Practice Address - Phone:732-895-4407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-14
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC000044001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical