Bobby Ray Linville, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1440-C Issued in AR

Practice address

113 Lielmanis Ave
Hurlburt Field, FL 32544-5613

Phone

(850) 881-5061

NPI assigned

Mar 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1225097033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 SW 13TH ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813800",
            "telephone_number": "816-399-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LIELMANIS AVE",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325445613",
            "telephone_number": "850-881-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINVILLE",
        "first_name": "BOBBY",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1440-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Rauch Labounty, LCSW
• Deborah K Lanius, MSN FNP
• Denna Lantz, LCSW
• Logan A Latimer, IDMT
• Joshua Glenn Lewis
• Michel Larayne Long, LCSW
• Lena T. Longmire-Lyons, LMHC
• Jose Encarnacion Lucio
• Sindy Johanna Maldonado
• Amanda Mariscal, LCSW, MPH

• Clinical Social Worker in Hurlburt Field, FL
• Providers in Hurlburt Field, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.