Active NPI
Lindsey McKiernan, LCSW, LLC
- Social Worker
- Willimantic, CT
National Provider Identifier
1508320821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- LINDSEY MCKIERNAN, LCSW, LLC
- Doing business as
- Lindsey McKiernan, LCSW, LLC
- Practice address
- 322 Main St Ste 2E-1M
Willimantic, CT 06226-3152 - Phone
- (860) 929-2109
- NPI assigned
- Jan 31, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lindsey McKiernan, LCSW
- Title
- Managing Member
- Phone
- (860) 929-2109
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
322 Main St Ste 2E-1M
Willimantic, CT 06226-3152
Mailing address
245 Berlin Ave Apt 6
Southington, CT 06489-3265
Phone (203) 668-1613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008064021 | Medicaid | CT |
Other names 1
- Lindsey McKiernan, LCSW, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548892800000",
"number": "1508320821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 BERLIN AVE APT 6",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064893265",
"telephone_number": "203-668-1613",
"fax_number": "888-803-8363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 MAIN ST STE 2E-1M",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062263152",
"telephone_number": "860-929-2109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDSEY MCKIERNAN, LCSW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-31",
"last_updated": "2019-01-31",
"status": "A",
"authorized_official_last_name": "MCKIERNAN",
"authorized_official_first_name": "LINDSEY",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "860-929-2109",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008064021",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lindsey McKiernan, LCSW, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Willimantic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.