Individual provider Active NPI

Rachel Elizabeth Lindbloom, LSCSW

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1811137599
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW 1380 Issued in KS
Practice address
1723 W 27TH Ter
Lawrence, KS 66046-4307
Phone
(785) 841-7690
NPI assigned
Feb 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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 LSCSW 1380 KS Primary

Addresses

Primary practice location

1723 W 27TH Ter
Lawrence, KS 66046-4307

Mailing address

1723 W 27TH Ter
Lawrence, KS 66046-4307
Phone (785) 841-7690

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

State licenses

LicenseStateTypeSpecialty
LSCSW 1380KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1811137599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 W 27TH TER",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660464307",
            "telephone_number": "785-841-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 W 27TH TER",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660464307",
            "telephone_number": "785-841-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBLOOM",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW 1380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.