Active NPI
Linda G Blackstone, LCSW MFT
- Clinical Social Worker
- Concord, CA
National Provider Identifier
1043413198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS6327
- Practice address
- 1866 Clayton Road
Suite 103
Concord, CA 94520 - Phone
- (925) 676-3054
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS6327 | CA | Primary |
Addresses
Primary practice location
1866 Clayton Road
Suite 103
Concord, CA 94520
Mailing address
2 Belgrave Ave
San Francisco, CA 94117
Phone (415) 242-4409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS6327 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043413198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BELGRAVE AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94117",
"telephone_number": "415-242-4409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1866 CLAYTON ROAD",
"address_2": "SUITE 103",
"city": "CONCORD",
"state": "CA",
"postal_code": "94520",
"telephone_number": "925-676-3054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKSTONE",
"first_name": "LINDA",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "LCSW MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS6327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.