Linda Cantrell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-28640 Issued in ID

Practice address

427 N Main St Ste 101
Pocatello, ID 83204-3016

Phone

(208) 705-0771

NPI assigned

Dec 28, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stepping Stones Counseling and Mediation LLC

  • Community/Behavioral Health Agency
  • Pocatello, ID
  • NPI 1437691557
  NPD (past) Authorized official
• Stepping Stones Counseling and Mediation LLC

  • Community/Behavioral Health Agency
  • Pocatello, ID
  • NPI 1972049427
  NPD (past) Authorized official

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1811432966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N MINK CREEK RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832047250",
            "telephone_number": "208-705-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 N MAIN ST STE 101",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043016",
            "telephone_number": "208-705-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "LINDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-28640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candlewood Family Counseling Center, Inc.
• Candlewood Family Counseling Center, Inc.
• Candlewood Family Counseling Center, Inc.
• Adam Scott Canfield
• Calleen Ann Cannon, LCPC
• Toni Cantrell, PHARMD
• Mariah J. Cantu, LSW
• Jonah Robert Capelle
• Chess Carbol
• Kelly Sue Card

• Clinical Social Worker in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.