Provider Demographics
NPI:1396933412
Name:WERBNER, LINDA ELLEN (LICSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:ELLEN
Last Name:WERBNER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2A LINDEN ST APT 3
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-4615
Mailing Address - Country:US
Mailing Address - Phone:781-526-4048
Mailing Address - Fax:
Practice Address - Street 1:162 FEDERAL ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3248
Practice Address - Country:US
Practice Address - Phone:978-745-2440
Practice Address - Fax:978-745-7615
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA117099101YP2500X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional