Individual provider Active NPI

Linda J. Nulsen, LCSW

  • Clinical Social Worker
  • Waynesville, NC
National Provider Identifier
1447374095
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002434 Issued in NC
Practice address
91 Timberlane Drive
Waynesville, NC 28786
Phone
(828) 454-1098
Fax
(828) 454-9242
NPI assigned
Mar 19, 2007
Last updated
Jul 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C002434 NC Primary

Addresses

Primary practice location

91 Timberlane Drive
Waynesville, NC 28786

Mailing address

44 Bonnie Lane
Sylva, NC 28779-8511
Phone (828) 586-5501

Other identifiers 2

IdentifierTypeStateIssuer
1095XOtherNCBCBS OF NORTH CAROLINA
6106048MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C002434NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1447374095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BONNIE LANE",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287798511",
            "telephone_number": "828-586-5501",
            "fax_number": "828-586-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 TIMBERLANE DRIVE",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "28786",
            "telephone_number": "828-454-1098",
            "fax_number": "828-454-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NULSEN",
        "first_name": "LINDA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NORTH CAROLINA",
            "identifier": "1095X",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106048",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.