Linda A Carmody, Ms, LPC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

4151-125 Issued in WI

Practice address

1496 Bellevue St Ste 101
Green Bay, WI 54311-4205

Phone

(920) 784-2644

Fax

(920) 784-2655

NPI assigned

Jan 16, 2008

Last updated

Feb 26, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Linda A Neville Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Spectrum Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Green Bay, WI
  • NPI 1053718890
  NPD

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1720264195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1496 BELLEVUE ST STE 101",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114205",
            "telephone_number": "920-784-2644",
            "fax_number": "920-784-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 BELLEVUE ST STE 101",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114205",
            "telephone_number": "920-784-2644",
            "fax_number": "920-784-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMODY, MS, LPC",
        "first_name": "LINDA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "4151-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43729600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "NEVILLE",
            "middle_name": "A",
            "credential": "MS, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cory Michael Carline, EDD, MSW, LCSW
• Derek Carl Carlson, MD
• Kavita Carlson, LCSW
• Lauryn Carlson
• Caitlin M Carmody, MS
• Carpenter Ear and Hearing SC
• Laurence John Carpenter, MS CCC
• Patrick M Carrigan, MD
• Dana L Carroll, APNP
• Chad Alan Carter, LAT ATC

• Social Worker in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.