Individual provider Active NPI

Linda Landis, LSW

  • Clinical Social Worker
  • East Brunswick, NJ
National Provider Identifier
1831548809
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL05847600 Issued in NJ
Practice address
288 Rues LN
East Brunswick, NJ 08816-5699
Phone
(732) 991-7473
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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 44SL05847600 NJ Primary

Addresses

Primary practice location

288 Rues LN
East Brunswick, NJ 08816-5699

Mailing address

204 Harrison Ave
Highland Park, NJ 08904-1816
Phone (732) 991-7473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20171117000082 NJ Practitioner - Clinical Social Worker 2163788589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Charities, Diocese of MetuchenGroup PAC ID 8123011046, 14 clinicians
Elderology LLCGroup PAC ID 6507904141, 23 clinicians

Practice addresses (Care Compare)

288 Rues LN
East Brunswick, NJ 08816-5699
Phone (732) 257-6100

61 Pearl St
Metuchen, NJ 08840-1832
Phone (908) 514-8590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05847600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elderology, LLC Clinical CurrentSince Feb 2, 2026 Accepting new patients
Catholic Charities, Diocese of Metuchen CurrentSince Oct 10, 2017 Accepting new patients
Catholic Charities Diocese of Metuchen CurrentSince Oct 10, 2017 Accepting new patients

Locations

288 Rues Ln
East Brunswick, NJ 08816
Phone (732) 257-6100

61 Pearl St
Metuchen, NJ 08840
Phone (908) 514-8590

319 Maple St
Perth Amboy, NJ 08861
Phone (732) 324-8200

Organizations & group practices 3

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1831548809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HARRISON AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041816",
            "telephone_number": "732-991-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 RUES LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165699",
            "telephone_number": "732-991-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "LINDA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL05847600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.