Provider Demographics
NPI:1740422518
Name:BLADES, LINDSEY JADE (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:JADE
Last Name:BLADES
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MS
Other - First Name:LINDSEY
Other - Middle Name:JADE
Other - Last Name:MCGLOTHLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LGSW
Mailing Address - Street 1:133 DEFENSE HWY STE 213
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-8907
Mailing Address - Country:US
Mailing Address - Phone:410-215-9122
Mailing Address - Fax:
Practice Address - Street 1:133 DEFENSE HWY STE 213
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-8907
Practice Address - Country:US
Practice Address - Phone:410-215-9122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-25
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14286104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker