Individual provider Active NPI

Eugenia Lindsey, BSN,MSW,LCSW

  • Clinical Social Worker
  • Roanoke, VA
National Provider Identifier
1730468935
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001996 Issued in VA
Practice address
541 Luck Ave SW
Suite 118
Roanoke, VA 24016-5000
Phone
(540) 342-0411
NPI assigned
Aug 5, 2011
Last updated
Sep 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904001996 VA Primary

Addresses

Primary practice location

541 Luck Ave SW
Suite 118
Roanoke, VA 24016-5000

Mailing address

541 Luck Ave SW
Suite 118
Roanoke, VA 24016-5000
Phone (540) 342-0411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200626000186 VA Practitioner - Clinical Social Worker 5991127607 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
0904001996VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Catholic Charities 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.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1730468935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 LUCK AVE SW",
            "address_2": "SUITE 118",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240165000",
            "telephone_number": "540-342-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 LUCK AVE SW",
            "address_2": "SUITE 118",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240165000",
            "telephone_number": "540-342-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "EUGENIA",
        "name_prefix": "Ms.",
        "credential": "BSN,MSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.