Linda Chlecq-Lysaght, MSW, LICSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5387 Issued in MN

Practice address

113 Comanche Rd
MHC 88 FM
Fort Meade, SD 57741-1002

Phone

(605) 490-2404

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366539868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320",
            "city": "FORT MEADE",
            "state": "SD",
            "postal_code": "577410320",
            "telephone_number": "605-490-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 COMANCHE RD",
            "address_2": "MHC 88 FM",
            "city": "FORT MEADE",
            "state": "SD",
            "postal_code": "577411002",
            "telephone_number": "605-490-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHLECQ-LYSAGHT",
        "first_name": "LINDA",
        "credential": "MSW, LICSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "5387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Jean Carl Maser, RN
• Brianna Louise Carlson, LPN
• Paula Carroll
• Shannon Marie Chiolis
• Jason William Chipman, LPC
• Jessica Christensen, RN
• Taya Lynn Christensen, RN
• Delynda Kay Christenson
• Alyce Ann Clasen, LCSW, LISW
• Lynette Clayton

• Clinical Social Worker in Fort Meade, SD
• Providers in Fort Meade, SD by specialty
• Clinical Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.