Individual provider Active NPI

Lynda Calonge, LCSW

  • Clinical Social Worker
  • San Jose, CA
National Provider Identifier
1548177595
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.029630 Issued in IL
Practice address
3155 Olsen Dr Ste 375
San Jose, CA 95117-1688
Phone
(810) 671-6582
NPI assigned
Aug 25, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.029630 IL Primary

Addresses

Primary practice location

3155 Olsen Dr Ste 375
San Jose, CA 95117-1688

Mailing address

3155 Olsen Dr Ste 375
San Jose, CA 95117-1688
Phone (810) 671-6582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1548177595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 OLSEN DR STE 375",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171688",
            "telephone_number": "810-671-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 OLSEN DR STE 375",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171688",
            "telephone_number": "810-671-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALONGE",
        "first_name": "LYNDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.029630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.