Linda Lee Kinzler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS21141 Issued in CA

Practice address

1622 4TH St
Santa Rosa, CA 95404-4020

Phone

(707) 479-7328

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kendall Individual Family and Marriage Therapists Inc

  dba Fourth Street Christian Therapists

  • Marriage & Family Therapist
  • Santa Rosa, CA
  • NPI 1740830389

  Clinical

  NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1336237940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 AGNEW PL",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015373",
            "telephone_number": "707-479-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 4TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044020",
            "telephone_number": "707-479-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINZLER",
        "first_name": "LINDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS21141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis King
• Rachel Elizabeth King, OTR/L, MS
• Victoria King
• Connie Rector Kinnison
• Jessica Kinon
• Reyanna B Kipers
• Kira S. Kayler (Key Insights Counseling)
• Roger W. Kirchner, MD
• Greg Kirchoff
• Grace Kirk

• Clinical Social Worker in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.