Provider Demographics
NPI:1831424126
Name:NAEF, LINDA (THD, LCSW)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:NAEF
Suffix:
Gender:F
Credentials:THD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 EAGLE AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39206-5822
Mailing Address - Country:US
Mailing Address - Phone:601-981-8679
Mailing Address - Fax:
Practice Address - Street 1:655 EAGLE AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39206-5822
Practice Address - Country:US
Practice Address - Phone:601-981-8679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC3477104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker