Active NPI
Lindsy Wagner LLC
- Clinical Social Worker
- St. Thomas, VI
National Provider Identifier
1992310114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LINDSY WAGNER LLC
- Practice address
- 9150 Estate Thomas
Suite 202
St. Thomas, VI 00802 - Phone
- (340) 719-7007
- Fax
- (340) 719-6655
- NPI assigned
- Sep 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lindsy K Yarger-Wagner, PSYD
- Title
- Ceo
- Phone
- (340) 719-7007
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
9150 Estate Thomas
Suite 202
St. Thomas, VI 00802
Mailing address
5030 Anchor Way
Suites 5-7, 9, 10
Christiansted, VI 00820
Phone (340) 719-7007
Other names 1
- Island Therapy Solutions
National Provider Directory
National Provider Directory- Tax ID family
- Island Therapy Solutions
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- St. Thomas, VI
- NPI 1215699723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600041600000",
"number": "1992310114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5030 ANCHOR WAY",
"address_2": "SUITES 5-7, 9, 10",
"city": "CHRISTIANSTED",
"state": "VI",
"postal_code": "00820",
"telephone_number": "340-719-7007",
"fax_number": "340-719-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 ESTATE THOMAS",
"address_2": "SUITE 202",
"city": "ST. THOMAS",
"state": "VI",
"postal_code": "00802",
"telephone_number": "340-719-7007",
"fax_number": "340-719-6655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDSY WAGNER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-14",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A",
"authorized_official_last_name": "YARGER-WAGNER",
"authorized_official_first_name": "LINDSY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "340-719-7007",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Island Therapy Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St. Thomas, VI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.