Individual provider Active NPI

Linda A Chernus, M.S.W.

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1710099320
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I123 Issued in OH
Practice address
4201 Victory Pkwy
#915
Cincinnati, OH 45229-1645
Phone
(513) 558-9004
Fax
(513) 558-3880
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 I123 OH Primary

Addresses

Primary practice location

4201 Victory Pkwy
#915
Cincinnati, OH 45229-1645

Mailing address

4201 Victory Pkwy
#915
Cincinnati, OH 45229-1645
Phone (513) 558-9004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20171226001193 AZ Practitioner - Clinical Social Worker 2567513369 Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3093 W Mockingbird LN
Tucson, AZ 85713-3086
Phone (513) 484-1784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I123OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Professional Services Past Accepting new patients

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710099320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 VICTORY PKWY",
            "address_2": "#915",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452291645",
            "telephone_number": "513-558-9004",
            "fax_number": "513-558-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 VICTORY PKWY",
            "address_2": "#915",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452291645",
            "telephone_number": "513-558-9004",
            "fax_number": "513-558-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNUS",
        "first_name": "LINDA",
        "middle_name": "A",
        "name_prefix": "Prof.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.