Active NPI
Lynda M Washington, LCSW
- Clinical Social Worker
- San Jose, CA
National Provider Identifier
1003978842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS21142
- Practice address
- 160 E Virginia St
#280
San Jose, CA 95112 - Phone
- (408) 287-6200
- Fax
- (408) 998-1535
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS21142 | CA | Primary |
Addresses
Primary practice location
160 E Virginia St
#280
San Jose, CA 95112
Mailing address
1855 Broadway Dr
Salinas, CA 93906
Phone (408) 938-2190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS21142 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003978842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 BROADWAY DR",
"city": "SALINAS",
"state": "CA",
"postal_code": "93906",
"telephone_number": "408-938-2190",
"fax_number": "408-998-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E VIRGINIA ST",
"address_2": "#280",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95112",
"telephone_number": "408-287-6200",
"fax_number": "408-998-1535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "LYNDA",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS21142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.