NPIMap

William C Link Jr., LCSW, LMFT

Individual provider Active NPI Clinical Social Worker · Bloomfield, IN

NPI 1043440787 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1043440787
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
34001613A (IN)
Practice address
431 E Main St
Bloomfield, IN 47424-1460
Phone
(812) 384-9452
NPI assigned
Jul 15, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
35000842AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Center, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 35000842A IN
Clinical Social Worker 1041C0700X 34001613A IN Yes

Addresses

Primary practice location

431 E Main St
Bloomfield, IN 47424-1460

Mailing address

PO Box 4323
Terre Haute, IN 47804-0323

Other practice location 1

518 State Road 135 N
Nashville, IN 47448-8109
Phone (812) 988-4056

Other providers in Bloomfield, IN

All providers in Bloomfield, IN · Clinical Social Worker in Indiana

Sources for this page

Verify at the official NPI Registry.