Provider Demographics
NPI:1538581467
Name:GOODNIGHT-HALVERSON, LINDA CHRISTINE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:CHRISTINE
Last Name:GOODNIGHT-HALVERSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:CHRISTINE
Other - Last Name:GOODNIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:805 SCHOOLHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-2415
Mailing Address - Country:US
Mailing Address - Phone:302-736-9789
Mailing Address - Fax:302-734-5985
Practice Address - Street 1:805 SCHOOLHOUSE LN
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-2415
Practice Address - Country:US
Practice Address - Phone:302-736-9789
Practice Address - Fax:302-734-5985
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00012641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical