Active NPI
Linda Christophel
- Clinical Social Worker
- Goshen, IN
National Provider Identifier
1043873615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801074681
- Practice address
- 330 Lakeview Dr
Goshen, IN 46528-9365 - Phone
- (574) 537-2680
- NPI assigned
- Apr 18, 2019
- Last updated
- Jun 11, 2019
- 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 | 6801074681 | IN | Primary |
Addresses
Primary practice location
330 Lakeview Dr
Goshen, IN 46528-9365
Mailing address
818 S. 7TH St.
Goshen, IN 46526
Phone (574) 536-8283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801074681 | Other | IN | SOCIAL WORK LICENSE |
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 |
|---|---|---|---|
| 6801074681 | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1043873615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 S. 7TH ST.",
"city": "GOSHEN",
"state": "IN",
"postal_code": "46526",
"telephone_number": "574-536-8283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 LAKEVIEW DR",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465289365",
"telephone_number": "574-537-2680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTOPHEL",
"first_name": "LINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-18",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "6801074681",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK LICENSE",
"identifier": "6801074681",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.