Provider Demographics
NPI:1710420039
Name:RAINERI, LINDA (MC, LPCMH)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:RAINERI
Suffix:
Gender:F
Credentials:MC, LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4669 NORWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-4811
Mailing Address - Country:US
Mailing Address - Phone:302-762-3064
Mailing Address - Fax:302-762-3064
Practice Address - Street 1:4669 NORWOOD DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-4811
Practice Address - Country:US
Practice Address - Phone:302-762-3064
Practice Address - Fax:302-762-3064
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-18
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0000069101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health