Active NPI
Linda B. Eichengreen, MSW
- Clinical Social Worker
- Binghamton, NY
National Provider Identifier
1629086822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17127
- Practice address
- 84 Main St
Binghamton, NY 13905-2811 - Phone
- (607) 772-8579
- Fax
- (607) 231-0718
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 17127 | NY | Primary |
Addresses
Primary practice location
84 Main St
Binghamton, NY 13905-2811
Mailing address
84 Main St
Binghamton, NY 13905-2811
Phone (607) 772-8579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01679818 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17127 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629086822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 MAIN ST",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139052811",
"telephone_number": "607-772-8579",
"fax_number": "607-231-0718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 MAIN ST",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139052811",
"telephone_number": "607-772-8579",
"fax_number": "607-231-0718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHENGREEN",
"first_name": "LINDA",
"middle_name": "B.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "17127",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01679818",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Binghamton, NY
Sources for this page
- 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.