Organization Active NPI

Linda J. Bunck LCSW

  • Community/Behavioral Health Agency
  • Fort Myers, FL
National Provider Identifier
1639614217
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW5026 Issued in FL
Legal business name
LINDA J. BUNCK LCSW
Practice address
1342 Colonial Blvd
Suite K-119
Fort Myers, FL 33907-1013
Phone
(239) 910-0955
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Linda J Bunck, LCSWNPI 1669556528
Title
Licensed Clinical Social Worker
Phone
(239) 910-0955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW5026 FL Primary

Addresses

Primary practice location

1342 Colonial Blvd
Suite K-119
Fort Myers, FL 33907-1013

Mailing address

3927 SE 4TH Ave
Cape Coral, FL 33904-4830
Phone (239) 910-0955

National Provider Directory

National Provider Directory

Locations

1342 Colonial Blvd
Ste K119
Fort Myers, FL 33907
Phone (239) 910-0955

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1639614217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 SE 4TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339044830",
            "telephone_number": "239-910-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 COLONIAL BLVD",
            "address_2": "SUITE K-119",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071013",
            "telephone_number": "239-910-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA J. BUNCK LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "BUNCK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "239-910-0955",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW5026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.