MEDICARE: MS. LINDA MARY RINER LCSWR

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	1041C0700X	Clinical Social Worker	R058330-1	NY

General Provider Information

NPI Number	:	1982654323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA MARY RINER LCSWR

Provider Business Mailing Address
First Line	:	PO BOX 4057
Second Line	:
City	:	ELMIRA
State	:	NY
Zip	:	14904-0057
Country	:	US
Telephone Number	:	607-732-4140
Fax Number	:

Provider Business Practice Location Address
First Line	:	812 CEDAR ST
Second Line	:
City	:	ELMIRA
State	:	NY
Zip	:	14904-2644
Country	:	US
Telephone Number	:	607-732-4140
Fax Number	:

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	03/01/2022

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