1982746236 NPI number — LIN ASSOCIATES INC

Table of content: (NPI 1982746236)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982746236 NPI number — LIN ASSOCIATES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LIN ASSOCIATES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ANN C LIN LCSW
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982746236
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8 SCHINDLER COURT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SILVER SPRINGS
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20903-1329
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-434-3571
Provider Business Mailing Address Fax Number:
301-445-3940

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8 SCHINDLER COURT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SILVER SPRINGS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20903-1329
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-434-3571
Provider Business Practice Location Address Fax Number:
301-445-3940
Provider Enumeration Date:
02/13/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LIN
Authorized Official First Name:
ANN C
Authorized Official Middle Name:
C
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
301-434-3571

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  114 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 106H00000X , with the licence number: LCM092 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 195471 . This is a "COMPSYCH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 214376 . This is a "KAISER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 012812 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 096645 . This is a "MHN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2681710 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 28652 . This is a "MDIPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7043 . This is a "BCBSHIELD" identifier . This identifiers is of the category "OTHER".