Provider Demographics
NPI:1578083598
Name:HERON, LINDSAY MEREDITH (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:MEREDITH
Last Name:HERON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MISS
Other - First Name:LINDSAY
Other - Middle Name:MEREDITH
Other - Last Name:CURRIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1581 ROUTE 23 STE 2
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-7506
Mailing Address - Country:US
Mailing Address - Phone:201-572-0262
Mailing Address - Fax:
Practice Address - Street 1:1581 ROUTE 23 STE 2
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-7506
Practice Address - Country:US
Practice Address - Phone:201-572-0262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC057289001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical