Provider Demographics
NPI:1649166737
Name:LINFORD, CHRISTENA (LMSW)
Entity type:Individual
Prefix:
First Name:CHRISTENA
Middle Name:
Last Name:LINFORD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6320 N CEZANNE DR
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83815-9133
Mailing Address - Country:US
Mailing Address - Phone:208-665-1895
Mailing Address - Fax:
Practice Address - Street 1:1350 W HANLEY AVE
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83815-8638
Practice Address - Country:US
Practice Address - Phone:208-667-1189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID3271260104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker