DR. LINDA C TRUM (LICSW PHD) – Clinical Social Worker, NPI 1720073513

DR. LINDA C TRUM (LICSW PHD) is a healthcare provider. based in Jamaica plain, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW PHD. They hold a License No. 100580 (MA). The NPI Number for DR. LINDA C TRUM (LICSW PHD) is 1720073513

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. LINDA C TRUM (LICSW PHD)
NPI
1720073513
Phone
(617) 477-3654
Address
111 PERKINS ST
Enumeration Date
17 September 2005
Last Update Date
5 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6174773654
Graduation Year
1993 (33 years ago)
PAC ID
0446275721
Professional Enrollment ID
I20051006000548
Address ID
MA021304320JA111XXSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for DR. LINDA C TRUM (LICSW PHD)

  • 111, Perkins Street, Jamaica Plain, Boston, Suffolk County, Massachusetts, 02130, United States

    052

    JAMAICA PLAIN, MA 021304313

    Phone: (617) 477-3654

    Fax: (617) 477-3836

    Type: Mailing

  • 111 PERKINS ST APT 52

    JAMAICA PLAIN, MA 021304320

    Phone: (781) 871-6084

    Type: Mailing

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: 2005-10-06

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
I20051006000548IClinical Social WorkerMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02130)

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Reviews

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Frequently asked questions

How do payers reference DR. LINDA C TRUM (LICSW PHD)?
For DR. LINDA C TRUM (LICSW PHD), use NPI 1720073513 as the unique 10-digit identifier.
Would DR. LINDA C TRUM (LICSW PHD) appear as active to a payer?
You can treat DR. LINDA C TRUM (LICSW PHD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. LINDA C TRUM (LICSW PHD)'s focus?
For DR. LINDA C TRUM (LICSW PHD), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is DR. LINDA C TRUM (LICSW PHD) registered?
Use Jamaica Plain, Massachusetts as the headline location for DR. LINDA C TRUM (LICSW PHD) here.
When was this NPI issued?
Enumeration for DR. LINDA C TRUM (LICSW PHD) is noted as September 17, 2005 where the registry provides it.

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