Provider Demographics
NPI:1477978419
Name:GOLDEN, LINDA (LCSW-R)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 ENGLISH RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14616-1691
Mailing Address - Country:US
Mailing Address - Phone:585-225-9292
Mailing Address - Fax:585-225-9393
Practice Address - Street 1:1800 ENGLISH RD
Practice Address - Street 2:SUITE 5
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14616-1691
Practice Address - Country:US
Practice Address - Phone:585-225-9292
Practice Address - Fax:585-225-9393
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-27
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY730349211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical