Provider Demographics
NPI:1487832622
Name:JASPER, LINDSEY BETH (LCSW)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:BETH
Last Name:JASPER
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 1:410 HEREFORD PARK
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:MO
Mailing Address - Zip Code:63068-2142
Mailing Address - Country:US
Mailing Address - Phone:417-766-3675
Mailing Address - Fax:
Practice Address - Street 1:410 HEREFORD PARK
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:MO
Practice Address - Zip Code:63068-2142
Practice Address - Country:US
Practice Address - Phone:417-766-3675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-08
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20120128931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical