Active NPI
Linda J Yerina LCSW LLC
- Clinical Social Worker
- Russellville, AR
National Provider Identifier
1366889198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1386-C
- Legal business name
- LINDA J YERINA LCSW LLC
- Practice address
- 701 E Main St
Suite 10
Russellville, AR 72801-5247 - Phone
- (479) 967-2225
- Fax
- (479) 967-2240
- NPI assigned
- Jun 3, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Joyce Yerina, LCSW
- Title
- President
- Phone
- (479) 967-2225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1386-C | AR | Primary |
Addresses
Primary practice location
701 E Main St
Suite 10
Russellville, AR 72801-5247
Mailing address
701 E Main St
Suite 10
Russellville, AR 72801-5247
Phone (479) 967-2225
National Provider Directory
National Provider DirectoryLocations
701 E Main St
Ste 11
Russellville, AR 72801
Phone (479) 967-2225
701 E Main St
Ste 10
Russellville, AR 72801
Phone (479) 498-6342
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Russellville, AR
- NPI 1437761806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370217600000",
"number": "1366889198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E MAIN ST",
"address_2": "SUITE 10",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728015247",
"telephone_number": "479-967-2225",
"fax_number": "479-967-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E MAIN ST",
"address_2": "SUITE 10",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728015247",
"telephone_number": "479-967-2225",
"fax_number": "479-967-2240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDA J YERINA LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-03",
"last_updated": "2013-06-03",
"status": "A",
"authorized_official_last_name": "YERINA",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "JOYCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "479-967-2225",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "1386-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.