Linda L Blum, LSW
Individual provider Active NPI Social Worker · Youngstown, OH
NPI 1154540920 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154540920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- S3736 (OH)
- Practice address
- 611 Belmont Ave
Youngstown, OH 44502-1037 - Phone
- (330) 744-2991
- Fax
- (330) 746-3449
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S3736 | OH | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S3736 | OH | Yes |
Addresses
Primary practice location
611 Belmont Ave
Youngstown, OH 44502-1037
Mailing address
157 Emerson Cir
Cortland, OH 44410-1110
Phone (330) 637-2956
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.