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
Fax: (920) 784-2655
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720264195 NPPES
Wisconsin MEDICAID 43729600

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