NPIMap

Individual provider Active NPI

Tywan J Lindsey, LCSW

  • Clinical Social Worker
  • Kernersville, NC
National Provider Identifier
1023129152
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005267 Issued in NC
Practice address
1730 Kernersville Medical Pkwy Ste 101
Kernersville, NC 27284-7198
Phone
(336) 564-4950
Fax
(336) 564-4959
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C005267 NC Primary

Addresses

Primary practice location

1730 Kernersville Medical Pkwy Ste 101
Kernersville, NC 27284-7198

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 564-4950

Other practice location 1

4004 Spring Garden St
Suite F
Greensboro, NC 27407-1680
Phone (919) 597-0863

Other identifiers 1

IdentifierTypeStateIssuer
6106350MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tlindsey245410@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110622000379 NC Practitioner - Clinical Social Worker 3870771892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke University Health System, Inc 1,083 clinicians

Practice addresses (Care Compare)

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

3400 Wake Forest Rd
Raleigh, NC 27609-7317
Phone (919) 954-3965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. Current Accepting new patients
Duke University Health System, Inc. Clinical CurrentSince Nov 4, 2021 Accepting new patients
Duke University Health System, Inc. CurrentSince Nov 4, 2021 Accepting new patients
Duke University Health System, Inc. CurrentSince Nov 4, 2021 Accepting new patients

Locations

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

Interoperability endpoints

  • Direct secure messaging: tlindsey245410@direct.novanthealth.org

Organizations & group practices 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1023129152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-564-4950",
            "fax_number": "336-564-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 KERNERSVILLE MEDICAL PKWY STE 101",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847198",
            "telephone_number": "336-564-4950",
            "fax_number": "336-564-4959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4004 Spring Garden St",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274071680",
            "country_code": "US",
            "telephone_number": "919-597-0863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "TYWAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106350",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tlindsey245410@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "4004 Spring Garden St",
            "address_2": "Suite F",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274071680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.