The Eading Disorder Center of Santa Barbara, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS12884 Issued in CA

Legal business name

THE EADING DISORDER CENTER OF SANTA BARBARA, LLC

Practice address

27 E Victoria St
Suite D
Santa Barbara, CA 93101-2619

Phone

(805) 705-3454

NPI assigned

Feb 11, 2012

Last updated

Feb 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda Sue Wells, LCSWNPI 1386948826

Title

Owner

Phone

(805) 705-3454

Specialties & licenses 1

Addresses

Locations

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.

• Linda Sue Wells, L.C.S.W.

  • Clinical Social Worker
  • Santa Barbara, CA
  • NPI 1386948826
  NPD (past) Authorized official

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

{
    "created_epoch": "1328918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328918400000",
    "number": "1790058485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 E VICTORIA ST",
            "address_2": "SUITE D",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 E VICTORIA ST",
            "address_2": "SUITE D",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012619",
            "telephone_number": "805-705-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EADING DISORDER CENTER OF SANTA BARBARA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-11",
        "last_updated": "2012-02-11",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-705-3454",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS12884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Etienne Marshall Thach, RBT
• Dawn Star Thatcher, D.M.D.
• Constance E. Thayer, NP
• Michelle Lea Thayer, LPT
• The Council and Alcoholism and Drug Abuse (Cada)
• The Medcenter, Inc.
• The Medical Rejuvanation Clinic of Dr. Duncan Turner Inc. (Turner Medical Arts)
• The Mountford Marriage and Family Therapy Group Corp (The Mountford Therapy Group)
• The Openminds Foundation
• The Phoenix House of Santa Barbara, Inc.

• Clinical Social Worker in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2012; 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.