Active NPI
Linda L Gurney, MSW LICSW
- Clinical Social Worker
- New Bedford, MA
National Provider Identifier
1104892702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 107054
- Practice address
- 333 Union St
Counseling and Personal Development Center
New Bedford, MA 02740 - Phone
- (508) 990-0852
- Fax
- (508) 990-4777
- NPI assigned
- Feb 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 107054 | MA | Primary |
Addresses
Primary practice location
333 Union St
Counseling and Personal Development Center
New Bedford, MA 02740
Mailing address
333 Union St
Counseling and Personal Development Center
New Bedford, MA 02740
Phone (508) 990-0852
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P06247 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051024000684 | MA | Practitioner - Clinical Social Worker | 3274559745 | Practice locations: New Bedford, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107054 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South County Psychiatry LLC | Clinical | Past | Accepting new patients |
| Linda M Palmer, Aprn, BC, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- New Bedford, MA
- NPI 1174030340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1104892702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 UNION ST",
"address_2": "COUNSELING AND PERSONAL DEVELOPMENT CENTER",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "02740",
"telephone_number": "508-990-0852",
"fax_number": "508-990-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 UNION ST",
"address_2": "COUNSELING AND PERSONAL DEVELOPMENT CENTER",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "02740",
"telephone_number": "508-990-0852",
"fax_number": "508-990-4777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURNEY",
"first_name": "LINDA",
"middle_name": "L",
"credential": "MSW LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-24",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "107054",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "P06247",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.