Active NPI
Lyndsey Wilson
- Clinical Social Worker
- White Bear Lake, MN
National Provider Identifier
1508703489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 30560
- Practice address
- 2540 County Road F E
White Bear Lake, MN 55110-3935 - Phone
- (651) 415-5500
- NPI assigned
- Apr 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 30560 | MN | Primary |
Addresses
Primary practice location
2540 County Road F E
White Bear Lake, MN 55110-3935
Mailing address
2540 County Road F E
White Bear Lake, MN 55110-3935
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30560 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Metro Intermediate School District 916 | Past | Accepting new patients | |
| Valley Crossing Community School | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- White Bear Lake, MN
- NPI 1770650863
-
- Local Education Agency (LEA)
- Woodbury, MN
- NPI 1164582243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1508703489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2540 COUNTY ROAD F E",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551103935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 COUNTY ROAD F E",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551103935",
"telephone_number": "651-415-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LYNDSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-30",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "30560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Bear Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.