NPIMap

Organization Active NPI

Lindsy Wagner LLC

  • Clinical Social Worker
  • St Thomas, VI
National Provider Identifier
1215699723
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LINDSY WAGNER LLC
Practice address
Parcel 62-3a, Royal Palm BLDG
Suite 205
St. Thomas, VI 00802
Phone
(340) 719-7007
Fax
(340) 719-6655
NPI assigned
Oct 12, 2021
Last updated
Oct 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Lindsy K Yarger-Wagner, PSYDNPI 1124273412
Title
Ceo
Phone
(340) 719-7007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

Parcel 62-3a, Royal Palm BLDG
Suite 205
St. Thomas, VI 00802

Mailing address

5030 Anchor Way
Suites 5-7, 9, 10
Christiansted, VI 00820
Phone (340) 719-7007

National Provider Directory

National Provider Directory
Tax ID family
Island Therapy Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5030 Anchor Way
Ste 10
Christiansted, VI 00820

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1215699723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 ANCHOR WAY",
            "address_2": "SUITES 5-7, 9, 10",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "00820",
            "telephone_number": "340-719-7007",
            "fax_number": "340-719-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARCEL 62-3A, ROYAL PALM BLDG",
            "address_2": "SUITE 205",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "340-719-7007",
            "fax_number": "340-719-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSY WAGNER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "YARGER-WAGNER",
        "authorized_official_first_name": "LINDSY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "340-719-7007",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

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