Provider Demographics
NPI:1407820947
Name:HARPER, LINNEA (LCSW)
Entity Type:Individual
Prefix:
First Name:LINNEA
Middle Name:
Last Name:HARPER
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 1:1889 E ALSEA HWY
Mailing Address - Street 2:
Mailing Address - City:WALDPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97394-9738
Mailing Address - Country:US
Mailing Address - Phone:541-563-3494
Mailing Address - Fax:
Practice Address - Street 1:4909 S COAST HWY
Practice Address - Street 2:
Practice Address - City:SOUTH BEACH
Practice Address - State:OR
Practice Address - Zip Code:97366-9648
Practice Address - Country:US
Practice Address - Phone:541-574-5960
Practice Address - Fax:541-574-6252
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL12901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR108114Medicare ID - Type Unspecified