Individual provider Active NPI

Lyndsay N Kilgour, LCSW

  • Clinical Social Worker
  • Lowell, MA
National Provider Identifier
1457509440
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW2140237 Issued in MA
Practice address
126 Phoenix Ave
Lowell, MA 01852-4991
Phone
(978) 453-8331
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Clinical Social Worker 1041C0700X LCSW2140237 MA Primary

Addresses

Primary practice location

126 Phoenix Ave
Lowell, MA 01852-4991

Mailing address

126 Phoenix Ave
Lowell, MA 01852-4991
Phone (978) 453-8331

Other practice location 1

149 Sylvan St
Danvers, MA 01923-3564
Phone (978) 774-7570 ext. 316

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

State licenses

LicenseStateTypeSpecialty
LCSW2140237MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1457509440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 PHOENIX AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018524991",
            "telephone_number": "978-453-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PHOENIX AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018524991",
            "telephone_number": "978-453-8331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Sylvan St",
            "address_purpose": "LOCATION",
            "city": "Danvers",
            "state": "MA",
            "postal_code": "019233564",
            "country_code": "US",
            "telephone_number": "978-774-7570 x316",
            "fax_number": "978-777-8547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILGOUR",
        "first_name": "LYNDSAY",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LCSW2140237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2025; 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.