Linda Owusuaa Iyebote, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50082015 Issued in DC

Practice address

6019 Archstone Way Apt 401
Alexandria, VA 22310-5526

Phone

(703) 300-6473

NPI assigned

Jun 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Linda Nsiah Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eloquia Therapeutic & Consulting Services PLLC

  dba Elra Wellness Group

  • Clinical Social Worker
  • Chantilly, VA
  • NPI 1821868712
  NPD Authorized official

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1942738133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 ARCHSTONE WAY APT 401",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223105526",
            "telephone_number": "703-300-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 ARCHSTONE WAY APT 401",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223105526",
            "telephone_number": "703-300-6473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Martin Luther King Jr Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200205209",
            "country_code": "US",
            "telephone_number": "202-373-0097 x109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IYEBOTE",
        "first_name": "LINDA",
        "middle_name": "OWUSUAA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG50081492",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "21638",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "NSIAH",
            "credential": "LGSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ivys Touch Home Healthcare LLC
• Jesse Iwanski, MD
• Makoto Brandon Iwasaki, MPT
• Nobuko Iwasaki, AUD
• Iweartec Corporation
• J & C Behavioral Therapy, LLC
• J. Helen Lee, DDS, PC
• J&a Holistic Support Care Provider
• J&J Harmony Center
• J&R Cares Transportation LLC

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.