Linden Oaks Sexual Abuse Treatment Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LINDEN OAKS SEXUAL ABUSE TREATMENT SERVICES

Practice address

100 Linden Oaks Ste 200
Rochester, NY 14625-2831

Phone

(585) 586-6840

Fax

(585) 586-7951

NPI assigned

Nov 28, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Emanuel R Petracca, LCSWNPI 1861539371

Title

General Partner

Phone

(585) 586-6840

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emanuel R Petracca, MSW

  • Clinical Social Worker
  • Rochester, NY
  • NPI 1861539371
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1013421080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LINDEN OAKS STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252831",
            "telephone_number": "585-586-6840",
            "fax_number": "585-586-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LINDEN OAKS STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252831",
            "telephone_number": "585-586-6840",
            "fax_number": "585-586-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDEN OAKS SEXUAL ABUSE TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "PETRACCA",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "585-586-6840",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth James Lindahl, M.D.
• Michael Masao Lindeborg, MD
• Linden Medical Group, LLP
• Linden Oaks Internal Medicine, LLP
• Linden Oaks Physical Therapy, PLLC
• Linden Oaks Surgery Center Inc
• Danielle M Lindenmuth, MD
• Ciera Linder, NP
• Mitchell Linder, MD
• Doug Robert Lindke, RPH

• Clinical Social Worker in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.