Linda Clark, LSW
Individual provider Active NPI Social Worker · Eldridge, IA
NPI 1437857331 · NPPES record last updated Feb 20, 2023
Key facts
- NPI
- 1437857331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 150008091 (IL)
- Practice address
- 608 N 5TH PL
Eldridge, IA 52748-1175 - Phone
- (563) 320-0232
- NPI assigned
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150008091 | IL | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150008091 | IL | Yes |
Addresses
Primary practice location
608 N 5TH PL
Eldridge, IA 52748-1175
Mailing address
608 N 5TH PL
Eldridge, IA 52748-1175
Phone (563) 320-0232
Other providers in Eldridge, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.