Active NPI
Petina Collier Lindsey, LCSW
- Clinical Social Worker
- Saint Charles, MO
National Provider Identifier
1104981646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005699
- Practice address
- 2536 S Old Highway 94
Ste 220
Saint Charles, MO 63303-5612 - Phone
- (314) 322-3326
- Fax
- (636) 329-0934
- NPI assigned
- Dec 26, 2006
- Last updated
- Oct 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149011124 | IL | |
| Clinical Social Worker | 1041C0700X | 005699 | MO | Primary |
Addresses
Primary practice location
2536 S Old Highway 94
Ste 220
Saint Charles, MO 63303-5612
Mailing address
2536 S Old Highway 94
Ste 220
Saint Charles, MO 63303-5612
Phone (314) 322-3326
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149011124 | IL | MD | Clinical Social Worker |
| 005699 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Petina Collier Lindsey | Clinical | Past | Accepting new patients |
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.
-
dba Lindsey Therapy Group
- Clinical Social Worker
- Saint Charles, MO
- NPI 1497065585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1104981646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2536 S OLD HIGHWAY 94",
"address_2": "STE 220",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633035612",
"telephone_number": "314-322-3326",
"fax_number": "636-329-0934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2536 S OLD HIGHWAY 94",
"address_2": "STE 220",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633035612",
"telephone_number": "314-322-3326",
"fax_number": "636-329-0934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSEY",
"first_name": "PETINA",
"middle_name": "COLLIER",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149011124",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "005699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
- Lifetime Dental Care of Missouri, Richard Straus, D.M.D., P.C. (Zumbehl Dental Care)
- Lifetime Love & Care, LLC
- Heather Lilledahl, M.A., CCC-SLP, M.ED.
- Linden Lactation LLC (Linden Lactation)
- Lindenwood University (Lindenwood University Sports Medicine)
- Charles M Linsenmeyer, M.D.
- James Linsin, PSY.D.
- Lisa Adams Counseling LLC
- Linda Smith Litschgi, LPC
- Madeline Margaret Litschgi, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.