Active NPI
Justin K Lynady, LMSW
- Social Worker
- Syracuse, NY
National Provider Identifier
1518458264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 103515
- Practice address
- 333 E Washington St Ste 546
Syracuse, NY 13202 - Phone
- (315) 426-2104
- NPI assigned
- May 29, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 103515 | NY | Primary |
Addresses
Primary practice location
333 E Washington St Ste 546
Syracuse, NY 13202
Mailing address
333 E Washington St Ste 546
Syracuse, NY 13202
Phone (315) 426-2104
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 |
|---|---|---|---|
| 103515 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1518458264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E WASHINGTON ST STE 546",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13202",
"telephone_number": "315-426-2104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E WASHINGTON ST STE 546",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13202",
"telephone_number": "315-426-2104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNADY",
"first_name": "JUSTIN",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-29",
"last_updated": "2022-09-12",
"certification_date": "2022-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "103515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.