Healthcare Provider Details

I. General information

NPI: 1952224511
Provider Name (Legal Business Name): MS. LINDA FELIX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 636
GRASS VALLEY CA
95945-0600
US

IV. Provider business mailing address

PO BOX 636
GRASS VALLEY CA
95945-0600
US

V. Phone/Fax

Practice location:
  • Phone: 530-888-5014
  • Fax:
Mailing address:
  • Phone: 530-888-5014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-20175
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: