Individual provider Active NPI

Linda Anderson, LCSW

  • Clinical Social Worker
  • Vincennes, IN
National Provider Identifier
1871031633
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007657A Issued in IN
Practice address
225 N 2ND St
Vincennes, IN 47591-1302
Phone
(812) 882-0509
Fax
(812) 895-0585
NPI assigned
Feb 1, 2017
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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 34007657A IN Primary

Addresses

Primary practice location

225 N 2ND St
Vincennes, IN 47591-1302

Mailing address

225 N 2ND St
Vincennes, IN 47591-1302
Phone (812) 882-0509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190815002677 IN Practitioner - Clinical Social Worker 1153658968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Mental Health Center Inc.Group PAC ID 1456330166, 42 clinicians

Practice addresses (Care Compare)

285 Bielby Rd
Lawrenceburg, IN 47025-1055
Phone (812) 537-1302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Center Inc CurrentSince Jul 23, 2019 Accepting new patients

Locations

285 Bielby Rd
Lawrenceburg, IN 47025
Phone (812) 537-1302

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1871031633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N 2ND ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911302",
            "telephone_number": "812-882-0509",
            "fax_number": "812-895-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N 2ND ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911302",
            "telephone_number": "812-882-0509",
            "fax_number": "812-895-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LINDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007657A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.