Active NPI
Linda Marie Demill, LCSW,RADC
- Clinical Social Worker
- Rhinelander, WI
National Provider Identifier
1891730875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7069-123
- Practice address
- 22 North Pelham Street
Rhinelander, WI 54501-0622 - Phone
- (715) 365-6696
- Fax
- (715) 365-6768
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7069-123 | WI | Primary |
Addresses
Primary practice location
22 North Pelham Street
Rhinelander, WI 54501-0622
Mailing address
PO Box 622
Rhinelander, WI 54501-0622
Phone (715) 282-6555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41007100 | Medicaid | WI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7069-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366675200000",
"number": "1891730875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 622",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545010622",
"telephone_number": "715-282-6555",
"fax_number": "715-365-6768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 NORTH PELHAM STREET",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545010622",
"telephone_number": "715-365-6696",
"fax_number": "715-365-6768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMILL",
"first_name": "LINDA",
"middle_name": "MARIE",
"credential": "LCSW,RADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2013-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7069-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41007100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rhinelander, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.