Individual provider Active NPI

Lynne Ann Zeitler, LCSWLADC

  • Clinical Social Worker
  • Southington, CT
National Provider Identifier
1780775908
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002954 Issued in CT
Practice address
17 Meriden Ave
Southington, CT 06489-3227
Phone
(860) 919-1589
Fax
(860) 229-1813
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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 002954 CT Primary

Addresses

Primary practice location

17 Meriden Ave
Southington, CT 06489-3227

Mailing address

100 Roslyn Dr
New Britain, CT 06052-1824
Phone (860) 919-1589

Other identifiers 2

IdentifierTypeStateIssuer
134548OtherCTVALUE OPTIONS INSURANCE
140002954CT09OtherCTANTHEM INSURANCE

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1780775908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROSLYN DR",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521824",
            "telephone_number": "860-919-1589",
            "fax_number": "860-229-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MERIDEN AVE",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893227",
            "telephone_number": "860-919-1589",
            "fax_number": "860-229-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEITLER",
        "first_name": "LYNNE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSWLADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS INSURANCE",
            "identifier": "134548",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INSURANCE",
            "identifier": "140002954CT09",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.