Provider Demographics
NPI:1225750870
Name:LITWIN, LYNDSEY JEAN (LCSW)
Entity Type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:JEAN
Last Name:LITWIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LYNDSEY
Other - Middle Name:JEAN
Other - Last Name:CLAYTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2321 MACARTHUR RD
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-5507
Mailing Address - Country:US
Mailing Address - Phone:262-325-7709
Mailing Address - Fax:
Practice Address - Street 1:N19W24101 RIVERWOOD DR STE 200
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-1497
Practice Address - Country:US
Practice Address - Phone:414-639-8022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9730-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical