Individual provider Active NPI

Lyndsey Kidd

  • Clinical Social Worker
  • Spring Hill, FL
National Provider Identifier
1235880683
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22929 Issued in FL
Practice address
13110 Cooper Rd
Spring Hill, FL 34609-5822
Phone
(502) 689-2053
NPI assigned
Jan 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 22929 FL Primary

Addresses

Primary practice location

13110 Cooper Rd
Spring Hill, FL 34609-5822

Mailing address

13110 Cooper Rd
Spring Hill, FL 34609-5822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR, KS, TX, NH5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20240621003877 FL Practitioner - Clinical Social Worker 9335682004 Reassigns benefits to 1 organization
I20250424003368 OR Practitioner - Clinical Social Worker 9335682004 Reassigns benefits to 1 organization
I20250515001818 KS Practitioner - Clinical Social Worker 9335682004 Reassigns benefits to 1 organization
I20250528003771 TX Practitioner - Clinical Social Worker 9335682004 Reassigns benefits to 1 organization
I20250702000680 NH Practitioner - Clinical Social Worker 9335682004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22929FLMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince May 10, 2024 Accepting new patients
Grow Healthcare Group of Kansas PA Clinical CurrentSince Apr 9, 2025 Accepting new patients
Miamipsych Concierge, LLC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

170 Commerce Way
Ste 200
Portsmouth, NH 03801
Phone (201) 293-7689

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 3

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": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1235880683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13110 COOPER RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13110 COOPER RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095822",
            "telephone_number": "502-689-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "LYNDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "22929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.