Provider Demographics
NPI:1578952917
Name:UNDERWOOD, LINDSEY (LCSWA)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:UNDERWOOD
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:LANDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2231 E MILLBROOK RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-1746
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2231 E MILLBROOK RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-1746
Practice Address - Country:US
Practice Address - Phone:919-307-8165
Practice Address - Fax:919-307-8167
Is Sole Proprietor?:No
Enumeration Date:2015-01-22
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health