Lynda McGowan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC01483700 Issued in NJ

Practice address

401 Washington Ave Ste 2-2
Dumont, NJ 07628-1510

Phone

(201) 965-7124

NPI assigned

Apr 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1083176093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 RICHARD DR",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281503",
            "telephone_number": "201-965-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WASHINGTON AVE STE 2-2",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281510",
            "telephone_number": "201-965-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "LYNDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01483700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "44SC01483700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Anne Eyas Mariblanca
• Meryl S. Mathew, PT, DPT
• Rachel Lyn Matthews, LCSW
• Lindsey Julia Mattsson, LPC
• Christopher Ryan McCarthy, LCSW
• McKenna House
• Tina Louise Menezes, DPT
• Abigail Osdana Mercado, APN
• Diane Merkovsky
• Milena Marie Michalopoulos, M.S. CCC-SLP

• Clinical Social Worker in Dumont, NJ
• Providers in Dumont, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.