Active NPI
Linda I Price, LSW
- Social Worker
- Rexburg, ID
National Provider Identifier
1306209101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW-1301
- Practice address
- 333 Walker Dr
Rexburg, ID 83440-1657 - Phone
- (208) 705-5437
- Fax
- (208) 359-4785
- NPI assigned
- Mar 30, 2016
- 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 | LSW-1301 | ID | Primary |
Addresses
Primary practice location
333 Walker Dr
Rexburg, ID 83440-1657
Mailing address
333 Walker Dr
Rexburg, ID 83440-1657
Phone (208) 705-5437
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW-1301 | ID | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1306209101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 WALKER DR",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401657",
"telephone_number": "208-705-5437",
"fax_number": "208-359-4785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 WALKER DR",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401657",
"telephone_number": "208-705-5437",
"fax_number": "208-359-4785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "LINDA",
"middle_name": "I",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-30",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LSW-1301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rexburg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.