Linda Kathleen Strom, LICSW

Key facts

NPI

1265443733

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

107037 (MA)

Practice address

439 W River Rd
Brattleboro, VT 05301-9088

Phone

(802) 380-9900

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 19, 2022.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1265443733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 MAIN ST",
            "address_2": "SUITE 104",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017022945",
            "telephone_number": "508-626-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 W RIVER RD",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053019088",
            "telephone_number": "802-380-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROM",
        "first_name": "LINDA",
        "middle_name": "KATHLEEN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "107037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

• Gregg Stoller, MSW, BCB A
• Paul G Stone, DMD
• Sarah Stout, PMHNP-BC
• Martha B. Straus, PH.D.
• Judith A Strom, LICSW
• Joyce Ann Sullivan, MA, LADAC
• Desiree Svegliati, BA MMFT LMFT
• Tamara Swayne, LCMHC
• Mahdi Taebi-Harandy, DDS
• Tall Trees Associates

All providers in Brattleboro, VT · Clinical Social Worker in Vermont