Linda G Wollenburg

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09302 Issued in MN

Practice address

203 West Clark Street
Albert Lea, MN 56007

Phone

(507) 377-5493

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Linda Gail Boyenga Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538296520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22064 565TH AVENUE",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "55912",
            "telephone_number": "507-433-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WEST CLARK STREET",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "56007",
            "telephone_number": "507-377-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLENBURG",
        "first_name": "LINDA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "09302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "BOYENGA",
            "middle_name": "GAIL",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel Widman
• Ella Mae Wiemerslage, PSY D
• Steven K Wiese, M.D.
• Maureen Ann Williams-Zelenak, L.I.C.S.W.
• Jillian Williamson
• Jennifer M Wood, RD
• Richard Lyle Wood, RN CNP
• Fadi Bassam Yahya, M.D.
• John Earl Yeakel, MD
• Yellow Bug of Albert Lea, LLC

• Clinical Social Worker in Albert Lea, MN
• Providers in Albert Lea, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.