Individual provider Active NPI

Lynsey Whaley, MSW, CSW-PIP, QMHP

  • Clinical Social Worker
  • Sioux Falls, SD
National Provider Identifier
1710008081
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2810 Issued in SD
Practice address
2500 W 49TH St Ste 202
Sioux Falls, SD 57105-6559
Phone
(605) 275-2030
Fax
(605) 275-2031
NPI assigned
Apr 3, 2007
Last updated
Sep 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16644 MN
Clinical Social Worker 1041C0700X 2810 SD Primary

Addresses

Primary practice location

2500 W 49TH St Ste 202
Sioux Falls, SD 57105-6559

Mailing address

2500 W 49TH St Ste 202
Sioux Falls, SD 57105-6559
Phone (605) 275-2030

Other names 1

  • Lynsey Sutton Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2810SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Counseling Services, Inc. CurrentSince May 1, 2013 Accepting new patients

Locations

2500 W 49th St
Ste 202
Sioux Falls, SD 57105
Phone (605) 275-2030

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1710008081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W 49TH ST STE 202",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056559",
            "telephone_number": "605-275-2030",
            "fax_number": "605-275-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W 49TH ST STE 202",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056559",
            "telephone_number": "605-275-2030",
            "fax_number": "605-275-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "LYNSEY",
        "credential": "MSW, CSW-PIP, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16644",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "2810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNSEY",
            "last_name": "SUTTON",
            "credential": "MSW, CSW-PIP, QMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.