Provider Demographics
NPI:1710378328
Name:ESPIQUE, LYNDI (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:LYNDI
Middle Name:
Last Name:ESPIQUE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12397 S ORANGE BLOSSOM TRL # 102
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-6217
Mailing Address - Country:US
Mailing Address - Phone:321-586-3920
Mailing Address - Fax:
Practice Address - Street 1:12397 S ORANGE BLOSSOM TRL # 102
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-6217
Practice Address - Country:US
Practice Address - Phone:321-586-3920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-18
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW9418104100000X
FLSW153051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker