Provider Demographics
NPI:1467522276
Name:ZAEPFEL, LINDA CARRIE (APRN, BC, LISW)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:CARRIE
Last Name:ZAEPFEL
Suffix:
Gender:F
Credentials:APRN, BC, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 EVELYN DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-5212
Mailing Address - Country:US
Mailing Address - Phone:803-216-0850
Mailing Address - Fax:803-216-0420
Practice Address - Street 1:409 EVELYN DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-5212
Practice Address - Country:US
Practice Address - Phone:803-216-0850
Practice Address - Fax:803-216-0420
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC55341041C0700X
SC1238363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP366960281Medicare PIN