Individual provider Active NPI

Linda C Trum, LICSW PHD

  • Clinical Social Worker
  • Jamaica Plain, MA
National Provider Identifier
1720073513
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100580 Issued in MA
Practice address
111 Perkins St Apt 52
Jamaica Plain, MA 02130-4320
Phone
(781) 871-6084
NPI assigned
Sep 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 100580 MA Primary

Addresses

Primary practice location

111 Perkins St Apt 52
Jamaica Plain, MA 02130-4320

Mailing address

111 Perkins St Apt 52
Jamaica Plain, MA 02130-4320
Phone (781) 871-6084

Other identifiers 5

IdentifierTypeStateIssuer
424232OtherMAHARVARD PILGRIM
752064OtherMATUFTS
TR P01626OtherMABLUE CROSSBLUE SHIELD
007858OtherMDVALUE OPTIONS
1004655OtherMABEACON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051006000548 MA Practitioner - Clinical Social Worker 0446275721 Practice locations: Jamaica Plain, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

111 Perkins St
Suite 52
Jamaica Plain, MA 02130-4313

111 Perkins St
Suite 52
Jamaica Plain, MA 02130-4320
Phone (617) 477-3654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
100580MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1126915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1720073513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PERKINS ST APT 52",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304320",
            "telephone_number": "781-871-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PERKINS ST APT 52",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304320",
            "telephone_number": "781-871-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUM",
        "first_name": "LINDA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "LICSW PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-17",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "100580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "424232",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "752064",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSBLUE SHIELD",
            "identifier": "TR P01626",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "007858",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON",
            "identifier": "1004655",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

Verify at the official NPI Registry.