Individual provider Active NPI

Linda Elaine Weinbaum, LCSW, BCD, ACSW

  • Clinical Social Worker
  • Ocala, FL
National Provider Identifier
1235204728
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9590 Issued in FL
Practice address
3002 SE 1St Ave
Building 100
Ocala, FL 34471-0477
Phone
(843) 610-0061
Fax
(352) 732-0455
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6951 SC
Clinical Social Worker 1041C0700X SW9590 FL Primary
Clinical Social Worker 1041C0700X 34000188A IN

Addresses

Primary practice location

3002 SE 1St Ave
Building 100
Ocala, FL 34471-0477

Mailing address

3002 SE 1St Ave
Building 100
Ocala, FL 34471-0477
Phone (843) 610-0061

Other identifiers 1

IdentifierTypeStateIssuer
QMO731MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34000188AINMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1235204728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 SE 1ST AVE",
            "address_2": "BUILDING 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710477",
            "telephone_number": "843-610-0061",
            "fax_number": "352-732-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 SE 1ST AVE",
            "address_2": "BUILDING 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710477",
            "telephone_number": "843-610-0061",
            "fax_number": "352-732-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBAUM",
        "first_name": "LINDA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LCSW, BCD, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "6951",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9590",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000188A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QMO731",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.