DR. LINDA MARLENE POVERNY PH.D. NPI 1699791202

NPI Information

NPI: 1699791202
Provider Name: DR. LINDA MARLENE POVERNY, PH.D.
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2001 S BARRINGTON AVE
SUITE 222
LOS ANGELES, CA
ZIP 90025
Phone: (323) 661-0403
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DR. Linda Marlene Poverny, PH.D. is an addiction (substance use disorder) counselor in Los Angeles, CA. DR. Linda Marlene Poverny, PH.D. NPI is 1699791202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2001 S BARRINGTON AVE
SUITE 222
LOS ANGELES, CA
ZIP 90025-363
Phone: (323) 661-0403
Fax: (323) 667-1253

The enumeration date for this NPI number is 7/15/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LL9543	CALIFORNIA	Yes
2	101YM0800X	Counselor	Mental Health	LL9543	CALIFORNIA	X
3	1041C0700X	Social Worker	Clinical	LL9543	CALIFORNIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q52337	MEDICARE UPIN	CALIFORNIA
2	SW9543	MEDICARE PIN	CALIFORNIA
3	LL9543	OTHER	CALIFORNIA	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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