Provider Demographics
NPI:1679888192
Name:ROSE, LINDSEY RENEE (LCSW)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:RENEE
Last Name:ROSE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 BINGHAM ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1101
Mailing Address - Country:US
Mailing Address - Phone:412-235-5445
Mailing Address - Fax:412-235-5446
Practice Address - Street 1:2304 JANE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-2362
Practice Address - Country:US
Practice Address - Phone:412-390-3835
Practice Address - Fax:412-431-8124
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW127385104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker