Organization Active NPI

Linda J Yerina LCSW LLC

  • Clinical Social Worker
  • Russellville, AR
National Provider Identifier
1366889198
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1386-C Issued in AR
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

Updated by the provider on Jun 3, 2013

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.