Individual provider Active NPI

Linda Struble, CSW-R

  • Clinical Social Worker
  • Geneseo, NY
National Provider Identifier
1184710659
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R027208-1 Issued in NY
Practice address
106 Main St
Geneseo, NY 14454-1236
Phone
(585) 733-3291
NPI assigned
Oct 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 R027208-1 NY Primary

Addresses

Primary practice location

106 Main St
Geneseo, NY 14454-1236

Mailing address

106 Main St
Geneseo, NY 14454-1236
Phone (585) 733-3291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180426002601 NY Practitioner - Clinical Social Worker 2567726540 Practice locations: Geneseo, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R027208-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cindy Pond, LCSW, PLLC Past Accepting new patients
Laura Bligh LMHC 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, 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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184710659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MAIN ST",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541236",
            "telephone_number": "585-733-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MAIN ST",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541236",
            "telephone_number": "585-733-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUBLE",
        "first_name": "LINDA",
        "credential": "CSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027208-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneseo, NY

Sources for this page

Verify at the official NPI Registry.