Provider Demographics
NPI:1396224960
Name:GESSENDORF, LINDSEY A (LCSW)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:A
Last Name:GESSENDORF
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 1:30 W RAMPART ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46176-8846
Mailing Address - Country:US
Mailing Address - Phone:317-421-2012
Mailing Address - Fax:317-398-1851
Practice Address - Street 1:2325 INTELLIPLEX DR STE 207
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-8546
Practice Address - Country:US
Practice Address - Phone:317-392-2971
Practice Address - Fax:317-398-1894
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34008331A1041C0700X, 1041C0700X
IN1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical