Provider Demographics
NPI:1730719709
Name:NADOT, LINDA KWON (MSS, LCSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:KWON
Last Name:NADOT
Suffix:
Gender:F
Credentials:MSS, LCSW
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:Y
Other - Last Name:KWON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSS, LCSW
Mailing Address - Street 1:84 LANTANA DR
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-8814
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:84 LANTANA DR
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-8814
Practice Address - Country:US
Practice Address - Phone:302-623-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-18
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00005021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty