Provider Demographics
NPI:1578668596
Name:FELDMAN, LINDA LEE (LISW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:LEE
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 5TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-6072
Mailing Address - Country:US
Mailing Address - Phone:515-520-4369
Mailing Address - Fax:
Practice Address - Street 1:600 5TH ST STE 201
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-6072
Practice Address - Country:US
Practice Address - Phone:515-520-4369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA061701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA33600OtherWELLMARK BLUE CROSS/BLUE
IA085941OtherHEALTH ALLIANCE
IA100066786001OtherAPS HEALTHCARE
IA160340OtherUNITED BEHAVIORAL HEALTH
IA5031491OtherAETNA
IA065954OtherVALUE OPTIONS
IA231181OtherCOVENTRY HEALTH CARE OF I
IA239367OtherMIDLANDS CHOICE
IA33600OtherWELLMARK BLUE CROSS/BLUE