Linda C Joannidis, LCSWR

Primary specialty

Social WorkerTaxonomy code 104100000X

License

R0417181 Issued in NY

Practice address

2812 159TH Street
Flushing, NY 11358-1027

Phone

(718) 767-1108

Fax

(718) 767-1108

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Linda Clear Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mental Health Providers of Western Queens, Inc.

  • Adult Mental Health Clinic/Center
  • Jackson Heights, NY
  • NPI 1477699791
  Medicare reassignment NPD

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184794455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 159TH STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581027",
            "telephone_number": "718-767-1108",
            "fax_number": "718-767-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 159TH STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581027",
            "telephone_number": "718-767-1108",
            "fax_number": "718-767-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOANNIDIS",
        "first_name": "LINDA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0417181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "CLEAR",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• JNR Acupuncture, P.C.
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• Joann Arena Eisinger
• Joanne Joaquin
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• Joeun Dental P.C.
• John H Won Urology PC
• John H. Kim, MD, PC

• Social Worker in Flushing, NY
• Providers in Flushing, NY by specialty
• Social Worker in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.