Provider Demographics
NPI:1477069052
Name:CANLEY, LINDSEY (LICSWA)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:CANLEY
Suffix:
Gender:F
Credentials:LICSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33720 9TH AVE S STE 7
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-6735
Mailing Address - Country:US
Mailing Address - Phone:253-944-1014
Mailing Address - Fax:
Practice Address - Street 1:33720 9TH AVE S STE 7
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6735
Practice Address - Country:US
Practice Address - Phone:253-944-1014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-19
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC604931811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical