Individual provider Active NPI

Linda Kathleen Rumbold, LCSWR

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1881739654
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0697261 Issued in NY
Practice address
11 Lochland Drive
Buffalo, NY 14225-1629
Phone
(716) 390-3333
Fax
(716) 883-7637
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 0697261 NY Primary

Addresses

Primary practice location

11 Lochland Drive
Buffalo, NY 14225-1629

Mailing address

11 Lochland Drive
Buffalo, NY 14225-1629
Phone (716) 390-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050104000047 NY Practitioner - Clinical Social Worker 7719935006 Practice locations: Buffalo, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Buffalo School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11 Lochland Dr
Buffalo, NY 14225-1629
Phone (716) 364-0352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0697261NYMDClinical Social Worker
063827NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Services Inc PastSince Sep 1, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1881739654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LOCHLAND DRIVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251629",
            "telephone_number": "716-390-3333",
            "fax_number": "716-883-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LOCHLAND DRIVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251629",
            "telephone_number": "716-390-3333",
            "fax_number": "716-883-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMBOLD",
        "first_name": "LINDA",
        "middle_name": "KATHLEEN",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0697261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.