Provider Demographics
NPI:1023217361
Name:LINDQUIST, ONA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ONA
Middle Name:
Last Name:LINDQUIST
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:476 BROADWAY
Mailing Address - Street 2:#6F
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10013
Mailing Address - Country:US
Mailing Address - Phone:212-599-6535
Mailing Address - Fax:212-965-8892
Practice Address - Street 1:104 E 40TH ST
Practice Address - Street 2:SUITE 602
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-599-6535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5455305102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst