Lindsay Ann Detlie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010870 Issued in VA

Practice address

223 W Main St Ste F
Charlottesville, VA 22902-5071

Phone

(434) 270-0892

NPI assigned

Feb 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charlottesville Empowerment: Counseling and Wellness Services

  • Clinical Psychologist
  • Charlottesville, VA
  • NPI 1891251682
  NPD (past)

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1982169488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 GEORGIANNA ALY",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229013211",
            "telephone_number": "757-685-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W MAIN ST STE F",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025071",
            "telephone_number": "434-270-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETLIE",
        "first_name": "LINDSAY",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Derrickson, BCABA
• Shivali Sanjay Desai
• Ainsley Desmarais
• Duncan G. Desouza, M.D.
• Kaitlyn Destefano, DO
• Philip Detrana, PA
• Allegra Deucher, M.D.
• Kenneth Devault, MD
• Robert Kenneth Devich, MD
• Jennifer S Deviers, FNP

• Clinical Social Worker in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.