Individual provider Active NPI

Lyndi Espique, MSW, LCSW

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1710378328
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15305 Issued in FL
Practice address
12397 S Orange Blossom TRL # 102
Orlando, FL 32837-6217
Phone
(321) 586-3920
NPI assigned
Feb 18, 2015
Last updated
Jun 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ISW9418 FL
Clinical Social Worker 1041C0700X SW15305 FL Primary

Addresses

Primary practice location

12397 S Orange Blossom TRL # 102
Orlando, FL 32837-6217

Mailing address

12397 S Orange Blossom TRL # 102
Orlando, FL 32837-6217
Phone (321) 586-3920

Other practice location 1

1400 W Oak St
Suite G
Kissimmee, FL 34741-4000
Phone (321) 250-1054

Other practice location 2

8751 Commodity Cir Ste 3
Orlando, FL 32819-9027
Phone (321) 586-3920

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

LicenseStateTypeSpecialty
ISW9418FLMDSocial Worker
SW15305FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Concordia Counseling and Behavioral Services, LLC CurrentSince Jan 1, 2020 Accepting new patients
Mid Florida Counseling, LLC Clinical PastSince Nov 15, 2017 Accepting new patients

Locations

12397 S Orange Blossom Trl
Orlando, FL 32837
Phone (321) 586-3920

8751 Commodity Cir
Ste 3
Orlando, FL 32819
Phone (321) 586-3920

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.

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1710378328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12397 S ORANGE BLOSSOM TRL # 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376217",
            "telephone_number": "321-586-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12397 S ORANGE BLOSSOM TRL # 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376217",
            "telephone_number": "321-586-3920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 W Oak St",
            "address_2": "Suite G",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414000",
            "country_code": "US",
            "telephone_number": "321-250-1054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8751 Commodity Cir Ste 3",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328199027",
            "country_code": "US",
            "telephone_number": "321-586-3920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPIQUE",
        "first_name": "LYNDI",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "ISW9418",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.