Individual provider Active NPI

Linda Anngela-Cole, LCSW

  • Clinical Social Worker
  • Carson City, NV
National Provider Identifier
1134535016
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6703-C Issued in NV
Practice address
407 N Walsh St
Carson City, NV 89701-4268
Phone
(775) 722-3873
NPI assigned
Jul 11, 2014
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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 6703-C NV Primary

Addresses

Primary practice location

407 N Walsh St
Carson City, NV 89701-4268

Mailing address

PO Box 8713
Reno, NV 89507-8713
Phone (808) 352-2982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20150114001963 NV Practitioner - Clinical Social Worker 6204150592 Practice locations: Carson City, NV

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grounded Roots Therapy Clinical CurrentSince Sep 5, 2021 Accepting new patients

Locations

407 N Walsh St
Carson City, NV 89701
Phone (775) 298-6386

537 Ralston St
Reno, NV 89503
Phone (775) 298-6386

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, 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": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1134535016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8713",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895078713",
            "telephone_number": "808-352-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N WALSH ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014268",
            "telephone_number": "775-722-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNGELA-COLE",
        "first_name": "LINDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6703-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.