Elm Ridge Enterprises, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

36294 Issued in TX

Legal business name

ELM RIDGE ENTERPRISES, LLC

Doing business as

Linda Malsbary, LCSW

Practice address

2235 N Pea Ridge Rd
Temple, TX 76502-4613

Phone

(254) 780-9571

Fax

(254) 780-2195

NPI assigned

Jan 2, 2015

Organization subpart

No

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

Authorized official

Name

Linda Malsbary, LCSWNPI 1841313855

Title

President

Phone

(254) 780-9571

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Linda Malsbary, LCSW Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda Anne Malsbary, LCSW

  • Clinical Social Worker
  • Temple, TX
  • NPI 1841313855
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1952799702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 N PEA RIDGE RD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765024613",
            "telephone_number": "254-780-9571",
            "fax_number": "254-780-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 N PEA RIDGE RD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765024613",
            "telephone_number": "254-780-9571",
            "fax_number": "254-780-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELM RIDGE ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "MALSBARY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-780-9571",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "36294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176633901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linda Malsbary, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Ellis, DPT
• Christopher Ellis
• Richard Mark Ellis, DDS
• Shaylise Ellis, FNP-C
• Timothy Allan Ellis, PA-C
• Joanne F. Elwood, MS
• John V Elwood, PSYD
• Brian A. Emadi, P.A.
• Encompassing Minds LLC
• Michael John Enderby, LPN

• Clinical Social Worker in Temple, TX
• Providers in Temple, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.