Active NPI
Lindsay Alyson Lundy, LCSW-P
- Clinical Social Worker
- Wytheville, VA
National Provider Identifier
1972777423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007494
- Practice address
- 770 W Ridge Rd
Wytheville, VA 24382-1187 - Phone
- (276) 223-3200
- Fax
- (276) 223-0617
- NPI assigned
- Apr 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904007494 | VA | Primary |
| Social Worker | 104100000X | P004478 | NC |
Addresses
Primary practice location
770 W Ridge Rd
Wytheville, VA 24382-1187
Mailing address
770 W Ridge Rd
Wytheville, VA 24382-1187
Phone (276) 223-3200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004945298 | Medicaid | VA | |
| 1972777423 | Other | VA | ANTHEM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| P004478 | NC | MD | Social Worker |
| 0904007494 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lindsay Lundy Counseling Services, PLLC | Clinical | Current | Accepting new patients |
| Charles a. Cannon, Jr. Memorial Hospital, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Abingdon, VA
- NPI 1396594537
-
dba Cannon OP Behavioral Health
- Psychiatry Physician
- Linville, NC
- NPI 1518906700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1972777423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 W RIDGE RD",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "243821187",
"telephone_number": "276-223-3200",
"fax_number": "276-223-0617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 W RIDGE RD",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "243821187",
"telephone_number": "276-223-3200",
"fax_number": "276-223-0617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDY",
"first_name": "LINDSAY",
"middle_name": "ALYSON",
"credential": "LCSW-P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007494",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "P004478",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945298",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "1972777423",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wytheville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.