Individual provider Active NPI

Linda Ann Herbert, LISW-S

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1750546107
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 0007440 SUPV Issued in OH
Practice address
300 E 185TH St
Cleveland, OH 44119-1330
Phone
(216) 383-2222
NPI assigned
Jul 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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 I 0007440 SUPV OH Primary

Addresses

Primary practice location

300 E 185TH St
Cleveland, OH 44119-1330

Mailing address

300 E 185TH St
Cleveland, OH 44119-1330
Phone (216) 383-2222

Other identifiers 1

IdentifierTypeStateIssuer
I 0007440 SUPVOtherOHCOUNSELOR AND SOCIAL WORKER BOARD LICENSE STATE OF OHIO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AZ, CO, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20090326000262 OH Practitioner - Clinical Social Worker 2365509965 Reassigns benefits to 1 organization
I20210617000839 AZ Practitioner - Clinical Social Worker 2365509965 Reassigns benefits to 2 organizations
I20220208001049 CO Practitioner - Clinical Social Worker 2365509965 Reassigns benefits to 1 organization
I20240911001012 TX Practitioner - Clinical Social Worker 2365509965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3133
Phone (866) 630-0966

20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966

2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966

4944 E Roberta Dr
Cave Creek, AZ 85331-2328
Phone (216) 319-1702

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09924409COMDClinical Social Worker
I 0007440 SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 2, 2021 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Hospice of the Western Reserve, Inc. Past Accepting new patients
Hospice of the Western Reserve, Inc. Past Accepting new patients

Locations

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

Interoperability endpoints

  • Direct secure messaging: lindaherbert@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1750546107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 185TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441191330",
            "telephone_number": "216-383-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 185TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441191330",
            "telephone_number": "216-383-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0007440 SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR AND SOCIAL WORKER BOARD LICENSE STATE OF OHIO",
            "identifier": "I 0007440  SUPV",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.