Individual provider Active NPI

Lindith M Fortin-Case, MSSW

  • Clinical Social Worker
  • Stillwater, MN
National Provider Identifier
1760686703
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18784 Issued in MN
Practice address
1751 Tower Dr W Ste 200
Stillwater, MN 55082-7596
Phone
(651) 439-2059
Fax
(888) 675-8262
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 18784 MN Primary

Addresses

Primary practice location

1751 Tower Dr W Ste 200
Stillwater, MN 55082-7596

Mailing address

1751 Tower Dr W Ste 200
Stillwater, MN 55082-7596
Phone (651) 439-2059

Other practice location 1

1 Veterans Dr
VA Medical Center
Minneapolis, MN 55417-2309
Phone (612) 725-2000 ext. 3620

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1760686703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 TOWER DR W STE 200",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827596",
            "telephone_number": "651-439-2059",
            "fax_number": "888-675-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 TOWER DR W STE 200",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827596",
            "telephone_number": "651-439-2059",
            "fax_number": "888-675-8262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Veterans Dr",
            "address_2": "VA Medical Center",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554172309",
            "country_code": "US",
            "telephone_number": "612-725-2000 x3620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTIN-CASE",
        "first_name": "LINDITH",
        "middle_name": "M",
        "credential": "MSSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.