Linda Joan Bunck, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5026 Issued in FL

Practice address

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

Phone

(239) 910-0955

Fax

(239) 945-0378

NPI assigned

Oct 25, 2006

Last updated

Oct 18, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: lindabunck@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brightside Health, Inc.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1073072658

  FL

  Medicare reassignment Care Compare group NPD
• Linda J. Bunck LCSW

  • Community/Behavioral Health Agency
  • Fort Myers, FL
  • NPI 1639614217
  NPD (past) Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1669556528",
    "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": "239-945-0378",
            "fax_number": "239-945-0378"
        },
        {
            "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",
            "fax_number": "239-945-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCK",
        "first_name": "LINDA",
        "middle_name": "JOAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "5026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karmiel Bulawan, PT
• Reynante Bulawan, PT
• Yakelyn Bullain
• Zoraya Bumpus, APRN FNP-BC
• Melissa M. Bunce, PA
• Meghan Elizabeth Burbach, P.T.
• Candice Burch, M.S
• Janet Elizabeth Burch, R.N.,M.S.
• Maxwell Anderson Burch, MD
• Susan S Burch, MSW

• Clinical Social Worker in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.