Linda Lou Bacino, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

075438 Issued in NY

Practice address

145 Route 22
Pawling, NY 12564-3214

Phone

(845) 214-2705

Fax

(845) 832-7888

NPI assigned

Nov 1, 2017

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

• Mrs. Linda L Bacino Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 1, 2017.

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1669984449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125400287",
            "telephone_number": "845-214-2705",
            "fax_number": "845-832-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ROUTE 22",
            "city": "PAWLING",
            "state": "NY",
            "postal_code": "125643214",
            "telephone_number": "845-214-2705",
            "fax_number": "845-832-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACINO",
        "first_name": "LINDA",
        "middle_name": "LOU",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "BACINO",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "QLCSW,LCSW-R",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• All providers in Pawling, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.