Provider Demographics
NPI:1730260050
Name:STOLTZMAN, LINDA (ACSW,LCSW,CADCIII)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:STOLTZMAN
Suffix:
Gender:
Credentials:ACSW,LCSW,CADCIII
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:STOLTZMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, CADC III
Mailing Address - Street 1:PO BOX 735044
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-5044
Mailing Address - Country:US
Mailing Address - Phone:800-326-2250
Mailing Address - Fax:
Practice Address - Street 1:12225 71ST ST
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53142-7320
Practice Address - Country:US
Practice Address - Phone:877-666-7223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI340-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39660500Medicaid