Provider Demographics
NPI:1447328877
Name:HANLEY- THOMAS, LINDA L (MSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:L
Last Name:HANLEY- THOMAS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:LASKEY
Other - Last Name:LASKEY HANLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:7 PROSPECT ST.
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060
Mailing Address - Country:US
Mailing Address - Phone:603-889-6147
Mailing Address - Fax:603-594-9649
Practice Address - Street 1:15 PROSPECT ST.
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060
Practice Address - Country:US
Practice Address - Phone:603-889-6147
Practice Address - Fax:603-594-9649
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1344104100000X
NH104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
14Y011388NH02OtherANTHEM
NH30424843Medicaid