Individual provider Active NPI

Linda Ruth Guttman, LCSW ACSW

  • Clinical Social Worker
  • Clifton Park, NY
National Provider Identifier
1902814890
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R02363381 Issued in NY
Practice address
56 Clifton Country Rd
Suite 105
Clifton Park, NY 12065-3838
Phone
(518) 383-3544
Fax
(518) 383-3544
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R02363381 NY Primary

Addresses

Primary practice location

56 Clifton Country Rd
Suite 105
Clifton Park, NY 12065-3838

Mailing address

56 Clifton Country Rd
Suite 105
Clifton Park, NY 12065-3838
Phone (518) 383-3544

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
I20110329000536 NY Practitioner - Clinical Social Worker 5799968764 Practice locations: Clifton Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Loyola University of Chicago, Stritch School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

56 Clifton Country Rd
Suite 105
Clifton Park, NY 12065-3838
Phone (518) 383-3544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R02363381NYMDClinical Social Worker
026338NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902814890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CLIFTON COUNTRY RD",
            "address_2": "SUITE 105",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653838",
            "telephone_number": "518-383-3544",
            "fax_number": "518-383-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CLIFTON COUNTRY RD",
            "address_2": "SUITE 105",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653838",
            "telephone_number": "518-383-3544",
            "fax_number": "518-383-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTMAN",
        "first_name": "LINDA",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "LCSW ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R02363381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.