Individual provider Active NPI

Karryl Joyce Lindsey, LISW-S, LICDC

  • Clinical Social Worker
  • Bedford Heights, OH
National Provider Identifier
1053576157
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0008328-S Issued in OH
Practice address
5311 Northfield Rd
Bedford Heights, OH 44146-1135
Phone
(216) 518-9250
Fax
(216) 518-9254
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 872393 OH
Clinical Social Worker 1041C0700X I0008328-S OH Primary

Addresses

Primary practice location

5311 Northfield Rd
Bedford Heights, OH 44146-1135

Mailing address

5311 Northfield Rd
Suite 409
Bedford Heights, OH 44146-1135
Phone (216) 518-9250

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
872393OHMDAddiction (Substance Use Disorder) Counselor
I0008328-SOHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1053576157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 NORTHFIELD RD",
            "address_2": "SUITE 409",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441461135",
            "telephone_number": "216-518-9250",
            "fax_number": "216-518-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 NORTHFIELD RD",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441461135",
            "telephone_number": "216-518-9250",
            "fax_number": "216-518-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "KARRYL",
        "middle_name": "JOYCE",
        "credential": "LISW-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "872393",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0008328-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.