Linda Backenstose PS Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00005942 Issued in WA

Legal business name

LINDA BACKENSTOSE PS INC

Practice address

1129 W Main St
Suite 194
Monroe, WA 98272-2034

Phone

(360) 805-0935

Fax

(360) 805-2835

NPI assigned

May 4, 2010

Organization subpart

No

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

Authorized official

Name

Linda Backenstose, MA LICSW

Title

President

Phone

(425) 344-8041

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1609194414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 TTEREVE DR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982035761",
            "telephone_number": "425-344-8041",
            "fax_number": "360-805-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 W MAIN ST",
            "address_2": "SUITE 194",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722034",
            "telephone_number": "360-805-0935",
            "fax_number": "360-805-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA BACKENSTOSE PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "BACKENSTOSE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-344-8041",
        "authorized_official_credential": "MA LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Monroe, WA
• Providers in Monroe, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.