Individual provider Active NPI

Linda Naef, TH.D., LCSW

  • Social Worker
  • Jackson, MS
National Provider Identifier
1831424126
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
C3477 Issued in MS
Practice address
655 Eagle Ave
Jackson, MS 39206-5822
Phone
(601) 981-8679
NPI assigned
Oct 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X C3477 MS Primary

Addresses

Primary practice location

655 Eagle Ave
Jackson, MS 39206-5822

Mailing address

655 Eagle Ave
Jackson, MS 39206-5822
Phone (601) 981-8679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 17, 2022 through Sep 17, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C3477MSMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1831424126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 EAGLE AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065822",
            "telephone_number": "601-981-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 EAGLE AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065822",
            "telephone_number": "601-981-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAEF",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "TH.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "C3477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.