Lynda Nelson Elmudesi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6710-123 Issued in WI

Practice address

1910 County Road NN
Elkhorn, WI 53121-4454

Phone

(262) 741-3200

Fax

(262) 741-3217

NPI assigned

May 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of WalworthGroup PAC ID 6002872835, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• County of Walworth

  dba Walworth County Department of Health and Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elkhorn, WI
  • NPI 1588733307
  Medicare reassignment Care Compare group NPD
• County of Walworth

  dba Walworth County Department of Health and Human Services

  • State or Local Public Health Clinic/Center
  • Elkhorn, WI
  • NPI 1548348311
  NPD
• Montes Psychiatric Center, P.C.

  • Psychiatry Physician
  • Rockford, IL
  • NPI 1629694278
  NPD
• Mathers Clinic, LLC

  • Child & Adolescent Psychiatry Physician
  • Rockford, IL
  • NPI 1215194519
  NPD (past)

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1821256561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1005",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 COUNTY ROAD NN",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214454",
            "telephone_number": "262-741-3200",
            "fax_number": "262-741-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON ELMUDESI",
        "first_name": "LYNDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149004277",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6710-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylinn Anne Musto, FNP-BC
• Ramesh Muthukumar, M.D
• Kamal S Muzaffar, MD
• Narayan Naik, DDS
• Alexander Jordan Neils, PA-C
• David Nelson, PHARMD
• Carlo Jon Nevicosi, MSW, APSW
• Rugile Nichols, DO
• Janna Fe Notario-Ringwald, MD, MSC
• Anna E Novotny

• Clinical Social Worker in Elkhorn, WI
• Providers in Elkhorn, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.