Provider Demographics
NPI:1578808093
Name:BLANK, LYNDSI OSTROW (LCSW)
Entity Type:Individual
Prefix:
First Name:LYNDSI
Middle Name:OSTROW
Last Name:BLANK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LYNDSI
Other - Middle Name:E
Other - Last Name:OSTROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1430 COLLIER ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-2911
Mailing Address - Country:US
Mailing Address - Phone:512-473-4257
Mailing Address - Fax:512-703-1394
Practice Address - Street 1:1631 E 2ND ST STE E
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-4491
Practice Address - Country:US
Practice Address - Phone:512-804-3650
Practice Address - Fax:512-746-0217
Is Sole Proprietor?:No
Enumeration Date:2012-12-10
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX569661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical