Provider Demographics
NPI:1942320163
Name:LINDEMAN, DAVID M (LCAS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:LINDEMAN
Suffix:
Gender:M
Credentials:LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CENTERVIEW DR
Mailing Address - Street 2:ROCKINGHAM BUILDING, SUITE 307
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-3713
Mailing Address - Country:US
Mailing Address - Phone:336-285-7176
Mailing Address - Fax:336-285-7178
Practice Address - Street 1:1 CENTERVIEW DR
Practice Address - Street 2:ROCKINGHAM BUILDING, SUITE 307
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-3713
Practice Address - Country:US
Practice Address - Phone:336-285-7176
Practice Address - Fax:336-285-7178
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1151101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6111948Medicaid