Organization Active NPI

Mind Mechanix LLC

  • Clinical Social Worker
  • Milford, DE
National Provider Identifier
1962909499
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001143 Issued in DE
Legal business name
MIND MECHANIX LLC
Practice address
556 S Dupont Blvd Ste I
Milford, DE 19963-1706
Phone
(302) 503-5142
Fax
(302) 725-5942
NPI assigned
Apr 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Justin Scott Linefsky, LCSW, CAADCNPI 1205160405
Title
Ceo/Clinical Director
Phone
(302) 313-1288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X DE
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Q1-0001143 DE Primary

Addresses

Primary practice location

556 S Dupont Blvd Ste I
Milford, DE 19963-1706

Mailing address

583 W Birdie LN
Magnolia, DE 19962-3116
Phone (302) 313-1288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180712003533 DE Part B Supplier - Clinic/Group Practice 4587910013 Receives reassigned benefits from 5 practitioners
Practice locations: Milford, DE

National Provider Directory

National Provider Directory

Locations

556 S DuPont Blvd
Ste 1
Milford, DE 19963
Phone (302) 503-5142

1011 Mattlind Way
Milford, DE 19963
Phone (302) 295-6312

1021 N Walnut St
Milford, DE 19963
Phone (302) 430-7900

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1962909499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 W BIRDIE LN",
            "city": "MAGNOLIA",
            "state": "DE",
            "postal_code": "199623116",
            "telephone_number": "302-313-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 S DUPONT BLVD STE I",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631706",
            "telephone_number": "302-503-5142",
            "fax_number": "302-725-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MECHANIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-11",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "LINEFSKY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "302-313-1288",
        "authorized_official_credential": "LCSW, CAADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.