Provider Demographics
NPI:1407252224
Name:NETH, LINDSAY (CSW-PIP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:NETH
Suffix:
Gender:F
Credentials:CSW-PIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 S LAKOTA CIR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:SD
Mailing Address - Zip Code:57005-1930
Mailing Address - Country:US
Mailing Address - Phone:605-661-4171
Mailing Address - Fax:
Practice Address - Street 1:412 S LAKOTA CIR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:SD
Practice Address - Zip Code:57005-1930
Practice Address - Country:US
Practice Address - Phone:605-661-4171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-05
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD31011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical