Organization Active NPI

Linda Nelson

  • Clinical Social Worker
  • Syracuse, NY
National Provider Identifier
1598156168
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Linda Nelson, LCSWNPI 1134265705
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.