LINDA L HARTLEY (MSW, LCSW) – Clinical Social Worker, NPI 1699707836

LINDA L HARTLEY (MSW, LCSW) is a healthcare provider. based in Fort wayne, Indiana. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. They hold a License No. 34001031A (IN). The NPI Number for LINDA L HARTLEY (MSW, LCSW) is 1699707836

Main info

Female
44 Years Of Experience
Accepts Medicare Assignment
Name
LINDA L HARTLEY (MSW, LCSW)
NPI
1699707836
Phone
(260) 481-2700
Address
909 E STATE BLVD
Enumeration Date
7 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2605153275
Graduation Year
1982 (44 years ago)
PAC ID
5890753057
Group Practice PAC ID
4789076373
Professional Enrollment ID
I20041221000163
Address ID
IN468041518FO6326XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,711 CLINICAL SOCIAL WORKER in IN

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Provider Addresses for LINDA L HARTLEY (MSW, LCSW)

  • 909, East State Boulevard, Fort Wayne, Allen County, Indiana, 46805, United States

    FORT WAYNE, IN 468053404

    Phone: (260) 481-2700

    Fax: (260) 481-2717

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041221000163IClinical Social WorkerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes45471$0
90834Psychotherapy, 45 minutes28764$0
90837Psychotherapy, 1 hour3720$0
90791Psychiatric diagnostic evaluation2121$0
View full utilization report →

Insurance plans in this area (ZIP 46805)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789076373View full group profile
NameSpecialtyState
Clinical Social WorkerIN
Clinical Social WorkerIN
Clinical PsychologistTX
Clinical PsychologistIN
Clinical PsychologistIN

Reviews

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Frequently asked questions

How do payers reference LINDA L HARTLEY (MSW, LCSW)?
For LINDA L HARTLEY (MSW, LCSW), use NPI 1699707836 as the unique 10-digit identifier.
Is there an active status for LINDA L HARTLEY (MSW, LCSW)?
For scheduling context, LINDA L HARTLEY (MSW, LCSW) is shown as active in the registry.
How would a patient describe LINDA L HARTLEY (MSW, LCSW)'s focus?
For LINDA L HARTLEY (MSW, LCSW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Indiana is LINDA L HARTLEY (MSW, LCSW) registered?
Use Fort Wayne, Indiana as the headline location for LINDA L HARTLEY (MSW, LCSW) here.
Does LINDA L HARTLEY (MSW, LCSW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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