Provider Demographics
NPI:1164988051
Name:FITZGERALD, LINDSAY KAY (LCSW)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:KAY
Last Name:FITZGERALD
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 1:31168 LEARNING LN
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-3685
Mailing Address - Country:US
Mailing Address - Phone:302-645-5338
Mailing Address - Fax:
Practice Address - Street 1:31168 LEARNING LN
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-3685
Practice Address - Country:US
Practice Address - Phone:302-367-8969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-15
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0001675101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health