Individual provider Active NPI

Lindsay E Knudsen, LMSW

  • Social Worker
  • Oakdale, NY
National Provider Identifier
1154901338
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
092053 Issued in NY
Practice address
7 Greentree Dr
Oakdale, NY 11769-1522
Phone
(631) 827-9937
NPI assigned
Apr 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 092053 NY Primary

Addresses

Primary practice location

7 Greentree Dr
Oakdale, NY 11769-1522

Mailing address

7 Greentree Dr
Oakdale, NY 11769-1522
Phone (631) 827-9937

Other practice location 1

405 Locust Ave
Oakdale, NY 11769-1695
Phone (631) 567-1626

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lknudsen@familyres.org Direct SKILLS UNLIMITED, INC

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
092053NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1154901338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GREENTREE DR",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691522",
            "telephone_number": "631-827-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GREENTREE DR",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691522",
            "telephone_number": "631-827-9937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Locust Ave",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "NY",
            "postal_code": "117691695",
            "country_code": "US",
            "telephone_number": "631-567-1626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNUDSEN",
        "first_name": "LINDSAY",
        "middle_name": "E",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lknudsen@familyres.org",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "SKILLS UNLIMITED, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "405 Locust Ave",
            "city": "Oakdale",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117691695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.