Individual provider Active NPI

Linda Unneland, LCSW-R

  • Clinical Social Worker
  • Pleasantville, NY
National Provider Identifier
1790874675
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R040256-1 Issued in NY
Practice address
4 New St
Pleasantville, NY 10570-3107
Phone
(914) 747-5242
Fax
(914) 747-4745
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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 R040256-1 NY Primary

Addresses

Primary practice location

4 New St
Pleasantville, NY 10570-3107

Mailing address

4 New St
Pleasantville, NY 10570-3107
Phone (914) 747-5242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170127001488 NY Practitioner - Clinical Social Worker 1254613193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 New St
Pleasantville, NY 10570-3107
Phone (914) 589-4328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R040256-1NYMDClinical Social Worker
040256NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Triumph Counseling LCSW PLLC Clinical CurrentSince Nov 5, 2016 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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1790874675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NEW ST",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703107",
            "telephone_number": "914-747-5242",
            "fax_number": "914-747-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NEW ST",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703107",
            "telephone_number": "914-747-5242",
            "fax_number": "914-747-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNNELAND",
        "first_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R040256-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NY

Sources for this page

Verify at the official NPI Registry.