Provider Demographics
NPI:1083268213
Name:STEWART-GLASSEY, LYNDSEY (LMSW, MSW U/S)
Entity Type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:
Last Name:STEWART-GLASSEY
Suffix:
Gender:F
Credentials:LMSW, MSW U/S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1726 S JENSEN AVE
Mailing Address - Street 2:
Mailing Address - City:EL RENO
Mailing Address - State:OK
Mailing Address - Zip Code:73036-5540
Mailing Address - Country:US
Mailing Address - Phone:580-890-7655
Mailing Address - Fax:
Practice Address - Street 1:1726 S JENSEN AVE
Practice Address - Street 2:
Practice Address - City:EL RENO
Practice Address - State:OK
Practice Address - Zip Code:73036-5540
Practice Address - Country:US
Practice Address - Phone:580-890-7655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-25
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator