Provider Demographics
NPI:1669827796
Name:TIELL, LINDSAY H (MSW, LICSW, LCSW-C)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:H
Last Name:TIELL
Suffix:
Gender:F
Credentials:MSW, LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5236 44TH ST NW
Mailing Address - Street 2:#4
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-2135
Mailing Address - Country:US
Mailing Address - Phone:202-237-1196
Mailing Address - Fax:
Practice Address - Street 1:5236 44TH ST NW # 4
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2135
Practice Address - Country:US
Practice Address - Phone:202-237-1196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD190401041C0700X
DCLC500814571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical