Provider Demographics
NPI:1043594351
Name:MORRISON, LINDSAY S (LCSW-R, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:S
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LCSW-R, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 AMY KAY PKWY
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-6444
Mailing Address - Country:US
Mailing Address - Phone:845-331-1261
Mailing Address - Fax:845-331-2112
Practice Address - Street 1:1 AMY KAY PKWY
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-6444
Practice Address - Country:US
Practice Address - Phone:845-331-1261
Practice Address - Fax:845-331-2112
Is Sole Proprietor?:No
Enumeration Date:2011-10-05
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0806201041C0700X
NYF404274-01363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400100561Medicare PIN