Provider Demographics
NPI:1326438862
Name:HERDMAN, LINDSAY (LICSW, MLADC)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:HERDMAN
Suffix:
Gender:F
Credentials:LICSW, MLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 PORTSMOUTH AVENUE
Mailing Address - Street 2:SUITE 1 #1070
Mailing Address - City:STRATHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03885
Mailing Address - Country:US
Mailing Address - Phone:603-729-3373
Mailing Address - Fax:
Practice Address - Street 1:20 PORTSMOUTH AVENUE
Practice Address - Street 2:SUITE 1 #1070
Practice Address - City:STRATHAM
Practice Address - State:NH
Practice Address - Zip Code:03885
Practice Address - Country:US
Practice Address - Phone:603-729-3373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-04
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH18141041C0700X
NH0930101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)