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NPI Code Detail

MEDICARE: LINDA LEE FELDMAN LISW

MEDICARE: LINDA LEE FELDMAN LISW
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
11041C0700XClinical Social Worker06170IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
133600OTHERIAWELLMARK BLUE CROSS/BLUE
2085941OTHERIAHEALTH ALLIANCE
3100066786001OTHERIAAPS HEALTHCARE
4160340OTHERIAUNITED BEHAVIORAL HEALTH
55031491OTHERIAAETNA
6065954OTHERIAVALUE OPTIONS
7231181OTHERIACOVENTRY HEALTH CARE OF I
8239367OTHERIAMIDLANDS CHOICE

General Provider Information

NPI Number : 1578668596
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA LEE FELDMAN LISW
Provider Business Mailing Address
First Line : 600 5TH ST STE 201
Second Line :
City : AMES
State : IA
Zip : 50010-6072
Country : US
Telephone Number : 515-520-4369
Fax Number :
Provider Business Practice Location Address
First Line : 600 5TH ST STE 201
Second Line :
City : AMES
State : IA
Zip : 50010-6072
Country : US
Telephone Number : 515-520-4369
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 08/02/2019

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Directions to “ LINDA LEE FELDMAN LISW” Practice Location

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