MEDICARE: MS. LINDA MOTEN-ELLIOTT LMSW

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	104100000X	Social Worker	6801085274	MI
2	1041C0700X	Clinical Social Worker	6801085274	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	382143740	OTHER	MI	TAX ID
2	1016815	OTHER	MI	MCLAREN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275612327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA MOTEN-ELLIOTT LMSW

Provider Business Mailing Address
First Line	:	500 HANCOCK ST
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48602-4224
Country	:	US
Telephone Number	:	989-797-3400
Fax Number	:	989-799-0206

Provider Business Practice Location Address
First Line	:	500 HANCOCK ST
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48602-4224
Country	:	US
Telephone Number	:	989-797-3400
Fax Number	:	989-799-0206

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

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	11/08/2019

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