Individual provider Active NPI

Linda Marie Jensen

  • Clinical Social Worker
  • Libby, MT
National Provider Identifier
1083081624
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12329 Issued in MT
Practice address
101 Ski Rd
Libby, MT 59923-2843
Phone
(406) 293-2763
NPI assigned
Aug 31, 2015
Last updated
Mar 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12329 MT Primary

Addresses

Primary practice location

101 Ski Rd
Libby, MT 59923-2843

Mailing address

118 N 7TH St
Ste B10
Coeur D Alene, ID 83814-2759
Phone (208) 819-2716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219003613 WA Practitioner - Clinical Social Worker 8921370446 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12329MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Community Services Northwest CurrentSince Oct 18, 2024 Accepting new patients
Lutheran Community Services Northwest CurrentSince Oct 18, 2024 Accepting new patients
Lutheran Community Services Northwest Clinical Current Accepting new patients
Lake City Counseling Center LLC Clinical PastSince Mar 1, 2018 Accepting new patients

Locations

4040 S 188th St
Ste 300
Seatac, WA 98188
Phone (206) 816-3253

210 W Sprague Ave
Spokane, WA 99201
Phone (509) 747-8224

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1083081624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N 7TH ST",
            "address_2": "STE B10",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142759",
            "telephone_number": "208-819-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SKI RD",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232843",
            "telephone_number": "406-293-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "12329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libby, MT

Sources for this page

Verify at the official NPI Registry.