Provider Demographics
NPI:1720394737
Name:ISHMAN, LINDSAY MARIE (LCSW, LAC)
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:MARIE
Last Name:ISHMAN
Suffix:
Gender:F
Credentials:LCSW, LAC
Other - Prefix:MS
Other - First Name:LINDSAY
Other - Middle Name:MARIE
Other - Last Name:TROTTIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:655 N 12TH ST
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-3343
Mailing Address - Country:US
Mailing Address - Phone:970-462-7535
Mailing Address - Fax:970-245-3216
Practice Address - Street 1:655 N 12TH ST
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3343
Practice Address - Country:US
Practice Address - Phone:970-462-7535
Practice Address - Fax:970-245-3216
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO507101YA0400X
CO20571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)