Individual provider Active NPI

Kayleigh Lynch I, LMSW

  • Social Worker
  • Chandler, AZ
National Provider Identifier
1336695113
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
5971 Issued in CT
Practice address
3377 S Price Rd
Chandler, AZ 85248-3573
Phone
(480) 280-8888
NPI assigned
Aug 31, 2016
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Social Worker 104100000X 5971 CT Primary

Addresses

Primary practice location

3377 S Price Rd
Chandler, AZ 85248-3573

Mailing address

3377 S Price Rd Ste 110
Chandler, AZ 85248-3573
Phone (480) 280-8888

Other practice location 1

791 S Main St
Plantsville, CT 06479-1519
Phone (860) 880-0182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1336695113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3377 S PRICE RD STE 110",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483573",
            "telephone_number": "480-280-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 S PRICE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483573",
            "telephone_number": "480-280-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "791 S Main St",
            "address_purpose": "LOCATION",
            "city": "Plantsville",
            "state": "CT",
            "postal_code": "064791519",
            "country_code": "US",
            "telephone_number": "860-880-0182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "KAYLEIGH",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "5971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.