Individual provider Active NPI

Linda Corbett Sarvis, LCSW, LMT

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1932220787
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15358 Issued in FL
Practice address
3201 Shamrock St S Ste 103
Tallahassee, FL 32309-3349
Phone
(850) 566-1639
Fax
(850) 894-0062
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA23448 FL
Clinical Social Worker 1041C0700X SW15358 FL Primary

Addresses

Primary practice location

3201 Shamrock St S Ste 103
Tallahassee, FL 32309-3349

Mailing address

3036 Kaleb CT
Tallahassee, FL 32309-2515
Phone (850) 566-1639

Other practice location 1

2268 Wednesday St # 1
Tallahassee, FL 32308-4334
Phone (850) 566-1639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20191111000952 FL Practitioner - Clinical Social Worker 7810329083 Practice locations: Quincy, FL; Tallahassee, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3201 Shamrock St S
Suite 103
Tallahassee, FL 32309-3349
Phone (850) 566-1639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA23448FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1932220787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 KALEB CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092515",
            "telephone_number": "850-566-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 SHAMROCK ST S STE 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093349",
            "telephone_number": "850-566-1639",
            "fax_number": "850-894-0062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2268 Wednesday St # 1",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084334",
            "country_code": "US",
            "telephone_number": "850-566-1639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARVIS",
        "first_name": "LINDA",
        "middle_name": "CORBETT",
        "name_prefix": "Ms.",
        "credential": "LCSW, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA23448",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.