Active NPI
Lindsay A Jordan-Zammuto, LCSW
- Clinical Social Worker
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7482-123
- Practice address
- 6502 Grand Teton PLZ Ste 102
Madison, WI 53719-1047 - Phone
- (608) 827-7220
- NPI assigned
- Aug 29, 2018
- Last updated
- Aug 29, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7482-123 | WI | Primary |
Addresses
Primary practice location
6502 Grand Teton PLZ Ste 102
Madison, WI 53719-1047
Mailing address
1018 Sue PL
Madison, WI 53705-1354
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7482-123 | Other | WI | STATE LICENSEN |
Other names 1
- Lindsay A Jordan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6502 Grand Teton PLZ
Suite 102
Madison, WI 53719-1047
Phone (608) 827-7220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7482-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Center for Change LLC | Current | Accepting new patients |
Locations
6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100
2820 Walton Commons Ln
Ste 128
Madison, WI 53718
Phone (608) 827-7220
6502 Grand Teton Plz
Ste 102
Madison, WI 53719
Phone (608) 827-7220
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1215068069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1164904991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 SUE PL",
"city": "MADISON",
"state": "WI",
"postal_code": "537051354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6502 GRAND TETON PLZ STE 102",
"city": "MADISON",
"state": "WI",
"postal_code": "537191047",
"telephone_number": "608-827-7220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN-ZAMMUTO",
"first_name": "LINDSAY",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-29",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7482-123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSEN",
"identifier": "7482-123",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSAY",
"last_name": "JORDAN",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.