NPIMap

Individual provider Active NPI

Linden Thoburn, CSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1114074036
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LT070346 Issued in MI
Practice address
3520 Green CT
Suite 185
Ann Arbor, MI 48105-1566
Phone
(734) 222-6046
Fax
(734) 222-3639
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LT070346 MI Primary

Addresses

Primary practice location

3520 Green CT
Suite 185
Ann Arbor, MI 48105-1566

Mailing address

3520 Green CT
Suite 185
Ann Arbor, MI 48105-1566
Phone (734) 222-6046

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LT070346MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health Group, P.C. Past Accepting new patients
Anodyne Healthcare PLLC Past Accepting new patients
Ross Halpern Clinical Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114074036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 GREEN CT",
            "address_2": "SUITE 185",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051566",
            "telephone_number": "734-222-6046",
            "fax_number": "734-222-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 GREEN CT",
            "address_2": "SUITE 185",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051566",
            "telephone_number": "734-222-6046",
            "fax_number": "734-222-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOBURN",
        "first_name": "LINDEN",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "LT070346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

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.

Verify at the official NPI Registry.