Individual provider Active NPI

Linnell Arleese Baugham

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1841927209
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083062 Issued in NY
Practice address
568 Bay St Ste 3
Staten Island, NY 10304-3895
Phone
(347) 801-7786
Fax
(718) 816-0048
NPI assigned
Aug 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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 083062 NY Primary

Addresses

Primary practice location

568 Bay St Ste 3
Staten Island, NY 10304-3895

Mailing address

67 Railroad Ave
Staten Island, NY 10305-4734

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
083062NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jermaine Hill LCSW Family Services PC Clinical CurrentSince Aug 7, 2022 Accepting new patients

Locations

420 South Ave
Ste 4B
Staten Island, NY 10303
Phone (347) 881-3407

568 Bay St
Ste 3
Staten Island, NY 10304
Phone (347) 801-7786

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": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1841927209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 RAILROAD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 BAY ST STE 3",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043895",
            "telephone_number": "347-801-7786",
            "fax_number": "718-816-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGHAM",
        "first_name": "LINNELL",
        "middle_name": "ARLEESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.