MEDICARE: LINDA S ALBERT LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	3162	WI
2	1041C0700X	Clinical Social Worker	3162-123	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396713723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA S ALBERT LCSW

Provider Business Mailing Address
First Line	:	7617 MINERAL POINT RD
Second Line	:	STE 300
City	:	MADISON
State	:	WI
Zip	:	53717-1623
Country	:	US
Telephone Number	:	608-833-9290
Fax Number	:	608-833-9691

Provider Business Practice Location Address
First Line	:	7617 MINERAL POINT RD
Second Line	:	STE 300
City	:	MADISON
State	:	WI
Zip	:	53717-1623
Country	:	US
Telephone Number	:	608-833-9290
Fax Number	:	608-833-9691

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	11/02/2016

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Directions to “ LINDA S ALBERT LCSW” Practice Location

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