Teresa Bernadette Lindahl, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150109960 Issued in IL

Practice address

224 W Judd St
Woodstock, IL 60098-3199

Phone

(815) 345-3400

Fax

(844) 734-1259

NPI assigned

Jan 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• T.Lindahl Therapist PLLC

  • Mental Health Counselor
  • Fox Lake, IL
  • NPI 1225964133
  NPD Authorized official
• Woodstock Therapist LLC

  • Professional Counselor
  • Woodstock, IL
  • NPI 1003358037
  NPD

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1245945286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W JUDD ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983199",
            "telephone_number": "815-345-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W JUDD ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983199",
            "telephone_number": "815-345-3400",
            "fax_number": "844-734-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDAHL",
        "first_name": "TERESA",
        "middle_name": "BERNADETTE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.109960",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150109960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Leung, PHARMACIST
• Denene S Lewis, LCPC
• Adrienne J Liebich
• Lifeline Nursing Agency, Inc.
• Daniel Lim
• Kate Lynn Lisk
• Melissa Marie Loesch, QMHP
• Betsy Lohr, PHD
• Joshua Aaron Longhi
• Jeridith Ann Lord, LCPC

• All providers in Woodstock, IL
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.