Organization Active NPI

Lindsey McKiernan, LCSW, LLC

  • Social Worker
  • Willimantic, CT
National Provider Identifier
1508320821
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
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

Updated by the provider on Jan 31, 2019

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)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
008064021MedicaidCT

Other names 1

  • Lindsey McKiernan, LCSW, LLC Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.