Provider Demographics
NPI:1346401973
Name:MOSS, LINDSEY ANN (LSCSW)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:ANN
Last Name:MOSS
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3737 N RUSHWOOD ST
Mailing Address - Street 2:#1001
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-2528
Mailing Address - Country:US
Mailing Address - Phone:316-650-5737
Mailing Address - Fax:316-260-6494
Practice Address - Street 1:1121 N COLLEGE PARK ST
Practice Address - Street 2:SUITE 200
Practice Address - City:DERBY
Practice Address - State:KS
Practice Address - Zip Code:67037-3665
Practice Address - Country:US
Practice Address - Phone:316-650-5737
Practice Address - Fax:316-260-6494
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS7126104100000X
KS4134104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker