Lindsey A Vennard, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW21376 Issued in FL

Practice address

87003 Professional Way
Yulee, FL 32097-3400

Phone

(904) 849-1190

NPI assigned

May 5, 2023

Last updated

May 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brightside Health, Inc.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1073072658

  FL

  Medicare reassignment NPD
• Breakthroughs of North Florida LLC

  dba Breakthroughs of North Florida

  • Marriage & Family Therapist
  • Yulee, FL
  • NPI 1659895159
  NPD

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1285323170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1518",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320111518",
            "telephone_number": "904-327-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87003 PROFESSIONAL WAY",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320973400",
            "telephone_number": "904-849-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENNARD",
        "first_name": "LINDSEY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Florida Jacksonville Physicians, Inc.
• University of Florida Jacksonville Physicians, Inc. (Uf Health Imaging Services - Wildlight)
• Fermina Vallin
• Alissa Lois Vang, LMHC
• Tania Vanpelt, CNA
• Hewston Vereen, RPH
• Emily Arlene Via, D.P.M.
• Victorious Learning, LLC (Cultivate Behavioral Health and Education)
• Tayler Vincent, OTD, OTR/L
• Viv Serenity Haven LLC

• Clinical Social Worker in Yulee, FL
• Providers in Yulee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.

Verify at the official NPI Registry.