Lyndsey Johnsen, LCSW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149016349 Issued in IL

Legal business name

LYNDSEY JOHNSEN, LCSW

Practice address

901 E Grove St Ste O
Bloomington, IL 61701-8539

Phone

(815) 579-8350

NPI assigned

Mar 22, 2016

Last updated

Apr 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lyndsey Johnsen, LCSWNPI 1235583147

Title

Licensed Clinical Social Worker

Phone

(815) 579-8350

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lyndsey Johnsen

  • Clinical Social Worker
  • Bloomington, IL
  • NPI 1235583147
  NPD (past) Authorized official

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460851200000",
    "number": "1841652443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617020111",
            "telephone_number": "815-579-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E GROVE ST STE O",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617018539",
            "telephone_number": "815-579-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDSEY JOHNSEN, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-04-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSEN",
        "authorized_official_first_name": "LYNDSEY",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "815-579-8350",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149016349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.