Individual provider Active NPI

Lindsay Gail Larris, LSW

  • Clinical Social Worker
  • Edison, NJ
National Provider Identifier
1750647038
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL05699800 Issued in NJ
Practice address
5 Lincoln Hwy Ste 4a
Edison, NJ 08820-3964
Phone
(877) 759-5017
NPI assigned
Apr 11, 2012
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 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 Worker 1041C0700X 44SL05699800 NJ Primary

Addresses

Primary practice location

5 Lincoln Hwy Ste 4a
Edison, NJ 08820-3964

Mailing address

5 Lincoln Hwy Ste 4a
Edison, NJ 08820-3964
Phone (732) 285-9987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141002001476 NJ Practitioner - Clinical Social Worker 0042430647 Reassigns benefits to 1 organization
I20210518000014 WA Practitioner - Clinical Social Worker 0042430647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eleanor Health Professional NJ, LLCGroup PAC ID 3779904602, 15 clinicians

Practice addresses (Care Compare)

2250 Chapel Ave W
Suite 120
Cherry Hill, NJ 08002-2051
Phone (856) 861-5660

5 Lincoln Hwy
Edison, NJ 08820-3964
Phone (856) 421-5660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05699800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eleanor Health Professional Wa, PLLC CurrentSince Apr 30, 2021 Accepting new patients

Locations

4310 Colby Ave
Ste 201
Everett, WA 98203
Phone (425) 252-7000

Interoperability endpoints

  • Direct secure messaging: lindsay.larris.2@21505.direct.athenahealth.com

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": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1750647038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LINCOLN HWY STE 4A",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203964",
            "telephone_number": "732-285-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LINCOLN HWY STE 4A",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203964",
            "telephone_number": "877-759-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRIS",
        "first_name": "LINDSAY",
        "middle_name": "GAIL",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL05699800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.