Active NPI
Linda C Connell, LSW
- Social Worker
- Erie, PA
National Provider Identifier
1285618892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CW014037
- Practice address
- 2314 Sassafras St
Suite 200
Erie, PA 16502-2722 - Phone
- (814) 454-4484
- Fax
- (814) 452-1809
- NPI assigned
- Dec 6, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CW014037 | PA | Primary |
Addresses
Primary practice location
2314 Sassafras St
Suite 200
Erie, PA 16502-2722
Mailing address
2314 Sassafras St
Suite 200
Erie, PA 16502-2722
Phone (814) 454-4484
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
| License | State | Type | Specialty |
|---|---|---|---|
| CW014037 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Vincent Medical Education and Research Institute | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Albion, PA
- NPI 1558462259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1285618892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2314 SASSAFRAS ST",
"address_2": "SUITE 200",
"city": "ERIE",
"state": "PA",
"postal_code": "165022722",
"telephone_number": "814-454-4484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2314 SASSAFRAS ST",
"address_2": "SUITE 200",
"city": "ERIE",
"state": "PA",
"postal_code": "165022722",
"telephone_number": "814-454-4484",
"fax_number": "814-452-1809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELL",
"first_name": "LINDA",
"middle_name": "C",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "CW014037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.