Linda Ebert

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9223 Issued in FL

Legal business name

LINDA EBERT

Practice address

433 Harrison Avenue
Panama City, FL 32401

Phone

(850) 774-1592

NPI assigned

Feb 29, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Carol Ebert, LCSW

Title

Therapist

Phone

(850) 774-1592

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Linda Ebert Doing business as

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1245504802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7716 BETTY LOUISE DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324048536",
            "telephone_number": "850-774-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 HARRISON AVENUE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32401",
            "telephone_number": "850-774-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA EBERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "EBERT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "850-774-1592",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001956300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linda Ebert",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Life Management of NW FL, Inc.
• Lifeworks Mental Health Counseling LLC
• Tabbitha Lilly
• Lily & Stone Healthcare, PLLC
• Lincare Inc.
• Linda Jowers & Associates
• Linda K Fox MD PA
• Vanquiece Lashunn Lindsey Smith, ARNP-C
• Ann Plauche Lirette, LCSW
• Lisa Dronkers

• Clinical Social Worker in Panama City, FL
• Providers in Panama City, 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 Feb 29, 2012; 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.