Linda Nerenberg, L.E.P.

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

2560 Issued in CA

Practice address

4323 Palm Ave Ste D
La Mesa, CA 91941-6597

Phone

(619) 813-8655

Fax

(619) 460-4019

NPI assigned

Sep 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Linda Frailich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1366692089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 PALM AVE STE D",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919416597",
            "telephone_number": "619-813-8655",
            "fax_number": "619-460-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 PALM AVE STE D",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919416597",
            "telephone_number": "619-813-8655",
            "fax_number": "619-460-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERENBERG",
        "first_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "L.E.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "2560",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "2560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "FRAILICH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• School Social Worker in La Mesa, CA
• Providers in La Mesa, CA by specialty
• School Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.