Individual provider Active NPI

Linda Sue Gengelbach, LCSW

  • Clinical Social Worker
  • Pelham, AL
National Provider Identifier
1457493314
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34003528A Issued in IN
Practice address
2425 Chandabrook Dr
Pelham, AL 35124-1222
Phone
(812) 719-9844
NPI assigned
Feb 13, 2007
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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 34003528A IN Primary

Addresses

Primary practice location

2425 Chandabrook Dr
Pelham, AL 35124-1222

Mailing address

2425 Chandabrook Dr
Pelham, AL 35124-1222
Phone (812) 719-9844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210505002628 AL Practitioner - Clinical Social Worker 2769444173 Reassigns benefits to 1 organization
Practice locations: Pelham, AL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2425 Chandabrook Dr
Pelham, AL 35124-1222
Phone (812) 719-9844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1457493314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 CHANDABROOK DR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241222",
            "telephone_number": "812-719-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 CHANDABROOK DR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241222",
            "telephone_number": "812-719-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENGELBACH",
        "first_name": "LINDA",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003528A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

Verify at the official NPI Registry.