Individual provider Active NPI

Lyndi Nicole Farnam, LCSW

  • Clinical Social Worker
  • Hahira, GA
National Provider Identifier
1013294966
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005216 Issued in GA
Practice address
505 S Church St Ste 4C
Hahira, GA 31632-1413
Phone
(406) 565-0064
NPI assigned
Nov 7, 2011
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X CSW005216 GA Primary

Addresses

Primary practice location

505 S Church St Ste 4C
Hahira, GA 31632-1413

Mailing address

505 S Church St Ste 4C
Hahira, GA 31632-1413
Phone (406) 565-0064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141110002358 GA Practitioner - Clinical Social Worker 6305068255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2109 N Patterson St
Suite B
Valdosta, GA 31602-2577
Phone (229) 232-4833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lyndi N Farnam, LLC Clinical CurrentSince Apr 25, 2016 Accepting new patients

Locations

505 S Church St
Ste 4C
Hahira, GA 31632
Phone (406) 565-0064

2109 N Patterson St
Ste B
Valdosta, GA 31602
Phone (229) 232-4833

3354 Greystone Way
Valdosta, GA 31605
Phone (229) 241-7883

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1013294966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S CHURCH ST STE 4C",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316321413",
            "telephone_number": "406-565-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S CHURCH ST STE 4C",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316321413",
            "telephone_number": "406-565-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNAM",
        "first_name": "LYNDI",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-07",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hahira, GA

Sources for this page

Verify at the official NPI Registry.