Active NPI
Linda Nelson
- Clinical Social Worker
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LINDA NELSON
- Practice address
- 5165 Jupiter Inlet Way
Syracuse, NY 13215-1973 - Phone
- (607) 377-2354
- NPI assigned
- Feb 18, 2015
- Last updated
- Oct 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Nelson, LCSW
- Title
- Owner
- Phone
- (607) 377-2354
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
5165 Jupiter Inlet Way
Syracuse, NY 13215-1973
Mailing address
5165 Jupiter Inlet Way
Syracuse, NY 13215-1973
Phone (607) 377-2354
National Provider Directory
National Provider DirectoryLocations
309 Lake St
Penn Yan, NY 14527
Phone (607) 377-2354
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Penn Yan, NY
- NPI 1134265705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698624000000",
"number": "1598156168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5165 JUPITER INLET WAY",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132151973",
"telephone_number": "607-377-2354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5165 JUPITER INLET WAY",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132151973",
"telephone_number": "607-377-2354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDA NELSON",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-18",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "607-377-2354",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.