Timothy Lindwall, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28149 Issued in MN

Practice address

2179 4TH St Ste 2F
White Bear Lake, MN 55110-3041

Phone

(651) 494-8393

NPI assigned

Feb 21, 2024

Sex

Male

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 MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lake and Valley Family Therapy LLC

  • Marriage & Family Therapist
  • White Bear Lake, MN
  • NPI 1578262333

  Clinical

  Medicare reassignment NPD
• Momenta Mental Health

  • Adolescent and Children Mental Health Clinic/Center
  • White Bear Lake, MN
  • NPI 1215692785
  NPD

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1992561690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2179 4TH ST STE 2F",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103041",
            "telephone_number": "651-494-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 4TH ST STE 2F",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103041",
            "telephone_number": "651-494-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDWALL",
        "first_name": "TIMOTHY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Level Up Academy
• Jacob Levinski, DC
• Nathan Lewis, PHARMD
• Life Help Services, LLC (Life Help Counseling)
• Steven Linden Jr.
• Lauren Loberg, PT
• Sabrina Anne Lofgren
• Allyson Lorang
• Samuel Thomas Lorang, M.A.
• Matthew E Lorson, D.D.S.

• Clinical Social Worker in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.