Amber Lyndsey Connelly, B.A., L.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1600421 Issued in OH

Practice address

5115 Glendale Ave
Toledo, OH 43614-1801

Phone

(419) 476-0784

Fax

(419) 476-0763

NPI assigned

Jun 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amber Lyndsey Crowe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1841641776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6837 WOODMEADOW DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171142",
            "telephone_number": "419-277-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 GLENDALE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141801",
            "telephone_number": "419-476-0784",
            "fax_number": "419-476-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "AMBER",
        "middle_name": "LYNDSEY",
        "name_prefix": "Mrs.",
        "credential": "B.A., L.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1600421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "CROWE",
            "middle_name": "LYNDSEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Connecting Hands
• Connecting People & Places
• Connecting Point
• Connecting Point
• David K Connell, PH.D.
• Daniel Ray Connelly, DDS
• Eric Joseph Conner, DC
• Jack F Conner, MD
• Jerrie Conner
• Ronald Conner, M.D.

• Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.