Provider Demographics
NPI:1093190951
Name:MACALUSO, LINDSEY A (LMSW)
Entity Type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:A
Last Name:MACALUSO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 LINDEN OAKS
Mailing Address - Street 2:#200
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2840
Mailing Address - Country:US
Mailing Address - Phone:585-586-6840
Mailing Address - Fax:
Practice Address - Street 1:100 LINDEN OAKS
Practice Address - Street 2:#200
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2840
Practice Address - Country:US
Practice Address - Phone:585-586-6840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY093204-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker