Individual provider Active NPI

Lynette May

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1750872644
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4601 Bayard Park Dr Ste 202
Evansville, IN 47714-0602
Phone
(812) 629-9785
NPI assigned
May 25, 2018
Last updated
Oct 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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 NU Primary

Addresses

Primary practice location

4601 Bayard Park Dr Ste 202
Evansville, IN 47714-0602

Mailing address

PO Box 3817
Evansville, IN 47736-3817
Phone (812) 471-1591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190618003609 IN Practitioner - Clinical Social Worker 4981938305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

955 S Hebron Ave C
New Dawn Counsling LLC
Evansville, IN 47714-4085
Phone (812) 629-9785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Dawn Behavioral Health LLC Clinical CurrentSince Aug 1, 2019 Accepting new patients
Counseling for Change, Inc. CurrentSince Jan 5, 2022 Accepting new patients
Cooper Medical Group PC Past Accepting new patients

Locations

1133 Lincoln Ave
Evansville, IN 47714
Phone (812) 303-0212

4601 Bayard Park Dr
Ste 202
Evansville, IN 47714
Phone (812) 202-6311

955 S Hebron Ave
Ste C
Evansville, IN 47714
Phone (812) 477-3977

Organizations & group practices 3

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": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1750872644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3817",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477363817",
            "telephone_number": "812-471-1591",
            "fax_number": "812-471-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 BAYARD PARK DR STE 202",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140602",
            "telephone_number": "812-629-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY",
        "first_name": "LYNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.