Provider Demographics
NPI:1952476954
Name:PAOLI, LINDA C (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:C
Last Name:PAOLI
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 1:3433 AMERICAN RIVER DR STE A
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-5742
Mailing Address - Country:US
Mailing Address - Phone:916-972-7831
Mailing Address - Fax:916-488-9512
Practice Address - Street 1:3433 AMERICAN RIVER DR STE A
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95864-5742
Practice Address - Country:US
Practice Address - Phone:916-972-7831
Practice Address - Fax:916-488-9512
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS91641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical