Organization Active NPI

Linda J Smith LCSW PLLC

  • Clinical Social Worker
  • Huntington, NY
National Provider Identifier
1881066298
Registry record updated Oct 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
039047 Issued in NY
Legal business name
LINDA J SMITH LCSW PLLC
Practice address
4 Cliftwood Dr
Huntington, NY 11743-2103
Phone
(631) 385-3197
Fax
(631) 470-0324
NPI assigned
Oct 25, 2015
Last updated
Oct 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2015

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

Authorized official

Name
Linda SmithNPI 1861682403
Title
LCSW
Phone
(631) 385-3197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 039047 NY Primary

Addresses

Primary practice location

4 Cliftwood Dr
Huntington, NY 11743-2103

Mailing address

4 Cliftwood Dr
Huntington, NY 11743-2103
Phone (631) 385-3197

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170505000607 NY Part B Supplier - Clinic/Group Practice 9335426097 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington, NY; North Babylon, NY

National Provider Directory

National Provider Directory

Locations

1301 Deer Park Ave
North Babylon, NY 11703
Phone (631) 385-3197

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1445731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445731200000",
    "number": "1881066298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CLIFTWOOD DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432103",
            "telephone_number": "631-385-3197",
            "fax_number": "631-470-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CLIFTWOOD DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432103",
            "telephone_number": "631-385-3197",
            "fax_number": "631-470-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA J SMITH LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-25",
        "last_updated": "2015-10-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "631-385-3197"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "039047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.