Michael Charles Linder, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9128 Issued in MN

Practice address

5842 Old Main St
Suite 1
North Branch, MN 55056-6687

Phone

(651) 674-8312

Fax

(651) 674-8299

NPI assigned

Jan 9, 2008

Last updated

Jan 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Provide Care, Inc

  • Community/Behavioral Health Agency
  • North Branch, MN
  • NPI 1992982250
  NPD (past)

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1568647410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550560416",
            "telephone_number": "651-674-8312",
            "fax_number": "651-674-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5842 OLD MAIN ST",
            "address_2": "SUITE 1",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566687",
            "telephone_number": "651-674-8312",
            "fax_number": "651-674-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDER",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "9128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakes Region EMS, Inc.
• Raelynn Lamminen, PSY.D.
• Thomas A Leaf, MD
• Jenna Marie Leirmoe, MS, LPCC
• Lightnetwork Inc
• Marylous Homecare
• Cari McCargar, PHARMD
• Shawn Timothy McCullough, DDS
• Adam McVey, PHARMD
• Ann M Mell, PHARMD

• Clinical Social Worker in North Branch, MN
• Providers in North Branch, 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 Jan 9, 2008; 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.