Individual provider Active NPI

Linda J Myers, ACSW

  • Social Worker
  • Coldwater, MI
National Provider Identifier
1770633521
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801058469 Issued in MI
Practice address
694 W Chicago Rd
Coldwater, MI 49036-8405
Phone
(517) 279-8866
Fax
(517) 279-8866
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

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
Social Worker 104100000X 6801058469 MI Primary

Addresses

Primary practice location

694 W Chicago Rd
Coldwater, MI 49036-8405

Mailing address

PO Box 2588
Portage, MI 49081-2588
Phone (269) 373-8878

Other identifiers 1

IdentifierTypeStateIssuer
6230046OtherPHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801058469MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Psychological Services PC Social Worker PastSince Mar 12, 2024 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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770633521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2588",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490812588",
            "telephone_number": "269-373-8878",
            "fax_number": "269-373-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 W CHICAGO RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490368405",
            "telephone_number": "517-279-8866",
            "fax_number": "517-279-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "LINDA",
        "middle_name": "J",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801058469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "6230046",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.