Angie Lynn, Lscsw, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3578 Issued in KS

Legal business name

ANGIE LYNN, LSCSW, LLC

Practice address

123 N Tyler Rd
Wichita, KS 67212-3713

Phone

(316) 461-1686

NPI assigned

Jun 7, 2012

Last updated

Jun 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angie Lynn, LSCSWNPI 1851319263

Title

Owner/Clinician

Phone

(316) 461-1686

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angie Lynn, LSCSW

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1851319263
  Medicare reassignment NPD Authorized official
• Theresa A Flaigle, LMSW

  • Social Worker
  • Wichita, KS
  • NPI 1144553439
  NPD (past)
• Victoria Whitetree, LSCSW

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1962436493
  NPD (past)

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1487915245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N TYLER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N TYLER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123713",
            "telephone_number": "316-461-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGIE LYNN, LSCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "316-461-1686",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anew
• Ange Diagnostics LLC
• Angela Dixon Counseling
• Angela N. Holoubek, Lscsw
• Irina Angelo, RN, BSN
• Angie McDaniel LLC
• Kimberly Kaye Angleton, RN
• Amanda Ankrom
• Kelly Ankrom
• Unkown Anmol, MD

• Clinical Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.