Individual provider Active NPI

Linda H. Land, MSW

  • Clinical Social Worker
  • Syracuse, NY
National Provider Identifier
1497840128
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR003676-1 Issued in NY
Practice address
106 Windham Dr
Syracuse, NY 13224-1835
Phone
(315) 446-6570
Fax
(315) 446-7270
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 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 PR003676-1 NY Primary

Addresses

Primary practice location

106 Windham Dr
Syracuse, NY 13224-1835

Mailing address

106 Windham Dr
Syracuse, NY 13224-1835
Phone (315) 446-6570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 1, 2019 through Mar 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR003676-1NYMDClinical Social Worker
003676NYMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1497840128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WINDHAM DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241835",
            "telephone_number": "315-446-6570",
            "fax_number": "315-446-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WINDHAM DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241835",
            "telephone_number": "315-446-6570",
            "fax_number": "315-446-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAND",
        "first_name": "LINDA",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR003676-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.