Individual provider Active NPI

Linda Ann Olds, L.C.S.W.

  • Clinical Social Worker
  • Saint Augustine, FL
National Provider Identifier
1699826198
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW801 Issued in FL
Practice address
301 Health Park Blvd Ste 326
Saint Augustine, FL 32086-5771
Phone
(904) 819-2292
NPI assigned
Jan 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW801 FL Primary

Addresses

Primary practice location

301 Health Park Blvd Ste 326
Saint Augustine, FL 32086-5771

Mailing address

PO Box 3123
St Augustine, FL 32085-3123

Other names 1

  • Linda Ann Bass Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130408000426 FL Practitioner - Clinical Social Worker 1052556446 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert W Olds MD PA CurrentSince Mar 1, 2013 Accepting new patients
North Florida Specialists in Lung Diseases & Internal Medicine PA PastSince Jul 7, 2005 Accepting new patients

Locations

301 Health Park Blvd
Ste 106
St Augustine, FL 32086
Phone (904) 824-7884

301 Health Park Blvd
Ste 326
St Augustine, FL 32086
Phone (904) 819-5155

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1699826198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3123",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HEALTH PARK BLVD STE 326",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865771",
            "telephone_number": "904-819-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDS",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-13",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "BASS",
            "middle_name": "ANN",
            "credential": "L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Augustine, FL

Sources for this page

Verify at the official NPI Registry.