Provider Demographics
NPI:1326894668
Name:ANDERSEN, LINDSEY (LICSW)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:ANDERSEN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 INNERBELT RD
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-4416
Mailing Address - Country:US
Mailing Address - Phone:617-764-6351
Mailing Address - Fax:
Practice Address - Street 1:61 INNERBELT RD
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02143-4416
Practice Address - Country:US
Practice Address - Phone:617-764-6351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-26
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical