Healthcare Provider Details

I. General information

NPI: 1730994674
Provider Name (Legal Business Name): LINDA J GOODE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11344 COLOMA RD STE 250
GOLD RIVER CA
95670-6300
US

IV. Provider business mailing address

PO BOX 577
RANCHO CORDOVA CA
95741-0577
US

V. Phone/Fax

Practice location:
  • Phone: 916-701-8443
  • Fax: 916-701-8444
Mailing address:
  • Phone: 916-701-8443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number29311
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: