Active NPI
Kyndel Marie Lindsey, LCSW
- Clinical Social Worker
- Brandon, MS
National Provider Identifier
1174049811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C8386
- Practice address
- 613 Belle Oak LN
Brandon, MS 39042-8102 - Phone
- (601) 596-2625
- NPI assigned
- Aug 15, 2017
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | M8386 | MS | |
| Clinical Social Worker | 1041C0700X | C8386 | MS | Primary |
Addresses
Primary practice location
613 Belle Oak LN
Brandon, MS 39042-8102
Mailing address
101 Victoria PL
Brandon, MS 39042-6015
Phone (601) 596-2625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8386 | MS | MD | Social Worker |
| C8386 | MS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
Locations
1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1174049811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 VICTORIA PL",
"city": "BRANDON",
"state": "MS",
"postal_code": "390426015",
"telephone_number": "601-596-2625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 BELLE OAK LN",
"city": "BRANDON",
"state": "MS",
"postal_code": "390428102",
"telephone_number": "601-596-2625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSEY",
"first_name": "KYNDEL",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MS",
"license": "M8386",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C8386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, MS
- Life Senior Home Care LLC
- Lilly Pad Home Health, LLC
- Shuying Lin, PT
- Linda Marie Lindley - Bell, D.C.
- Carina Nicole Lindsey, EDS, LPC, NCC
- Michael T Lindsey, M.S, CCC-SLP
- Mary Lirette, PMHNP-BC
- Morgan Autumn Littich, RD, LD
- Little Chatterbox Speech-Language & Hearing Solutions, LLC
- Dawn Louise Little, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.