Lindsay Nicole Dworak, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

CMF0167591 Issued in NM

Practice address

3 Latir CT
Santa Fe, NM 87508-2192

Phone

(575) 693-6132

NPI assigned

Aug 26, 2009

Last updated

Oct 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lindsay Nicole Fellows Former name

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Marriage and Family Therapist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Womens Healing TherapyGroup PAC ID 0446699748, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Women's Healing Therapy

  • Adult Mental Health Clinic/Center
  • Santa Fe, NM
  • NPI 1851961882

  Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD
• A Childs Voice

  dba A Child's Voice INC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1720495682
  NPD (past)

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1750514626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LATIR CT",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875082192",
            "telephone_number": "575-693-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LATIR CT",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875082192",
            "telephone_number": "575-693-6132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Venice Ave NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871132337",
            "country_code": "US",
            "telephone_number": "505-916-2007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWORAK",
        "first_name": "LINDSAY",
        "middle_name": "NICOLE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CMF0167591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58455779",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "FELLOWS",
            "middle_name": "NICOLE",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Judy C. Durand, M.S., CCC-SLP
• Linda Durante, D.O.M.
• Lyndsay Marie Duren, PHARMD
• Teresa Nan Duty, PT
• Dwight Holden MD Fapa Inc. (Dwight Holden, MD)
• Laura Verkest Dwyer, MD
• Paulette Andrea Dwyer
• Tara O'Sullivan Dye, LPC
• Elizabeth C. Dyer, CRNA
• Kristi A Dyer, LMT

• Marriage & Family Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Marriage & Family Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.