Le'Handra Lynch
Individual provider Active NPI Clinical Social Worker · Circle Pines, MN
NPI 1285399360 · NPPES record last updated Mar 5, 2022
Key facts
- NPI
- 1285399360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 26612 (MN)
- Practice address
- 3764 95TH Ave NE
Circle Pines, MN 55014-3849 - Phone
- (651) 415-6200
- NPI assigned
- Nov 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240426000833 | MN | Practitioner - Clinical Social Worker | 2961842745 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26612 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current |
Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients |
Locations
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 26612 | MN | Yes |
Addresses
Primary practice location
3764 95TH Ave NE
Circle Pines, MN 55014-3849
Mailing address
7848 Niagara LN N
Maple Grove, MN 55311-2122
Phone (763) 607-9285
Other practice location 1
7848 Niagara Ln N
Maple Grove, MN 55311-2122
Phone (763) 607-9285
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Betterhelp.com |
Other providers in Circle Pines, MN
- Lexington Square Chiropractic Center PLLC
- Life Solutions Home Health Care LLC
- Luminate Therapy Collective
- Greta M Lund
- Daniel Simeon Lutz
- Lori Ann Marthaler-Miller
- Nathan Paul Melanson
- Midway Family Support
- Karen Anne Miller
- Mint Dental Lino Lakes PLLC
All providers in Circle Pines, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.