Individual provider Active NPI

Linda A. Horrell, M.DIV, MSW, LCSW

  • Clinical Social Worker
  • Richmond Heights, MO
National Provider Identifier
1467515270
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2004029338 Issued in MO
Practice address
7680 Lindbergh Dr
Richmond Heights, MO 63117-2138
Phone
(314) 599-6955
Fax
(636) 527-7635
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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 2004029338 MO Primary

Addresses

Primary practice location

7680 Lindbergh Dr
Richmond Heights, MO 63117-2138

Mailing address

7680 Lindbergh Dr
Richmond Heights, MO 63117-2138
Phone (636) 527-7615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20110720000284 MO Practitioner - Clinical Social Worker 9830367721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7680 Lindbergh Dr
Saint Louis, MO 63117-2138
Phone (636) 527-7615

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1467515270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7680 LINDBERGH DR",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631172138",
            "telephone_number": "636-527-7615",
            "fax_number": "636-527-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7680 LINDBERGH DR",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631172138",
            "telephone_number": "314-599-6955",
            "fax_number": "636-527-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORRELL",
        "first_name": "LINDA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "M.DIV, MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004029338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, MO

Sources for this page

Verify at the official NPI Registry.