Carmody, Ms, Lpc, Linda A
Carmody, Ms, Lpc, Linda A is an individual health care provider with primary practice located at 1496 Bellevue St Ste 101 , Green Bay WI 54311-4205. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Carmody, Ms, Lpc, Linda A can be contacted via phone (920) 784-2644.Contact Information
Primary practice address
1496 Bellevue St Ste 101
Green Bay WI 54311-4205
Phone: (920) 784-2644
Fax: (920) 784-2655
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Wisconsin | |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 4151-125 | Wisconsin |
Profile Details
NPI number | 1720264195 |
---|---|
LBN Legal business name | Carmody, Ms, Lpc, Linda A |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 16th, 2008 |
Last updated | Feb 26th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720264195 | NPPES |
Wisconsin | MEDICAID | 43729600 |
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