Provider Demographics
NPI:1548582869
Name:WAXLER, LINDSAY (LAC, MAC, LMSW)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:WAXLER
Suffix:
Gender:F
Credentials:LAC, MAC, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9256 BENDIX RD STE 200B
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-1848
Mailing Address - Country:US
Mailing Address - Phone:410-227-2825
Mailing Address - Fax:443-542-0931
Practice Address - Street 1:9256 BENDIX RD STE 200B
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045
Practice Address - Country:US
Practice Address - Phone:410-227-2825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDUO1799171100000X
MD234081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171100000XOther Service ProvidersAcupuncturist