Linda Ann Schiavone, LCSW-R

Key facts

NPI

1891085403

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

R-047457-1 (NY)

Practice address

14 Penataquit Dr
Brightwaters, NY 11718-1212

Phone

(631) 968-0522

Fax

(631) 665-3276

NPI assigned

Apr 15, 2011

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 15, 2011.

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1891085403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PENATAQUIT DR",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181212",
            "telephone_number": "631-968-0522",
            "fax_number": "631-665-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PENATAQUIT DR",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181212",
            "telephone_number": "631-968-0522",
            "fax_number": "631-665-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIAVONE",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-047457-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Brightwaters, NY · Clinical Social Worker in New York