Provider Demographics
NPI:1447916531
Name:BRIERTY, LINDA CAMPBELL (LCSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:CAMPBELL
Last Name:BRIERTY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 EDDY RD
Mailing Address - Street 2:
Mailing Address - City:BARKHAMSTED
Mailing Address - State:CT
Mailing Address - Zip Code:06063-3355
Mailing Address - Country:US
Mailing Address - Phone:917-957-4387
Mailing Address - Fax:
Practice Address - Street 1:46 EDDY RD
Practice Address - Street 2:
Practice Address - City:BARKHAMSTED
Practice Address - State:CT
Practice Address - Zip Code:06063-3355
Practice Address - Country:US
Practice Address - Phone:917-957-4387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052611104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker