Individual provider Active NPI

Lyndsay Adesso, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1962717231
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
081927 Issued in NY
Practice address
7701 13TH Ave
Brooklyn, NY 11228-2413
Phone
(718) 232-1351
Fax
(718) 837-5676
NPI assigned
Aug 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X P76700 NY
Social Worker 104100000X 081927 NY Primary

Addresses

Primary practice location

7701 13TH Ave
Brooklyn, NY 11228-2413

Mailing address

7701 13TH Ave
Brooklyn, NY 11228-2413
Phone (718) 232-1351

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
P76700NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1962717231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282413",
            "telephone_number": "718-232-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282413",
            "telephone_number": "718-232-1351",
            "fax_number": "718-837-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADESSO",
        "first_name": "LYNDSAY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "P76700",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "081927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.