Organization Active NPI

Linda Archibald LMSW LLC

  • Clinical Social Worker
  • Saint Clair Shores, MI
National Provider Identifier
1750856605
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LINDA ARCHIBALD LMSW LLC
Practice address
23915 Jefferson Ave Ste 5
Saint Clair Shores, MI 48080-1512
Phone
(586) 242-4245
NPI assigned
Oct 8, 2018
Last updated
Oct 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Authorized official

Name
Linda Archibald, LMSWNPI 1538412861
Title
Provider/Owner
Phone
(586) 242-4245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

23915 Jefferson Ave Ste 5
Saint Clair Shores, MI 48080-1512

Mailing address

20328 Yale St
Saint Clair Shores, MI 48081-1746
Phone (586) 242-4245

National Provider Directory

National Provider Directory

Locations

23915 Jefferson Ave
Ste 5
Saint Clair Shores, MI 48080
Phone (586) 242-4245

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1750856605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20328 YALE ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811746",
            "telephone_number": "586-242-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23915 JEFFERSON AVE STE 5",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801512",
            "telephone_number": "586-242-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA ARCHIBALD LMSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "ARCHIBALD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "586-242-4245",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.