Individual provider Active NPI

Cynthia Irene Lindgren, LCSW

  • Clinical Social Worker
  • Colleyville, TX
National Provider Identifier
1083050140
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59659 Issued in TX
Practice address
5004 Thompson Ter Ste 106a
Colleyville, TX 76034-6132
Phone
(817) 476-1204
Fax
(682) 257-3884
NPI assigned
May 16, 2013
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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 59659 TX Primary

Addresses

Primary practice location

5004 Thompson Ter Ste 106a
Colleyville, TX 76034-6132

Mailing address

9101 Trail Wood Dr
North Richland Hills, TX 76182-3715
Phone (817) 476-1204

Other names 1

  • Cynthia Irene Dunnigan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20151021000535 TX Practitioner - Clinical Social Worker 7214177625 Practice locations: N Richland Hills, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9101 Trail Wood Dr
N Richland Hills, TX 76182-3715
Phone (240) 925-5789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59659TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Church Clinical CurrentSince Jun 25, 2013 Accepting new patients
Cornerstone Counseling Center Mental Health Past Accepting new patients

Locations

6045 Solomons Island Rd
Huntingtown, MD 20639
Phone (410) 257-5200

Organizations & group practices 2

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": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1083050140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 TRAIL WOOD DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761823715",
            "telephone_number": "817-476-1204",
            "fax_number": "682-257-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 THOMPSON TER STE 106A",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346132",
            "telephone_number": "817-476-1204",
            "fax_number": "682-257-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDGREN",
        "first_name": "CYNTHIA",
        "middle_name": "IRENE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "DUNNIGAN",
            "middle_name": "IRENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.