Provider Demographics
NPI:1184073736
Name:PLUSS, LYNDSEY PEPPER (LCSW)
Entity type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:PEPPER
Last Name:PLUSS
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 1:495 FORT HILL CIR
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-2306
Mailing Address - Country:US
Mailing Address - Phone:847-924-3111
Mailing Address - Fax:
Practice Address - Street 1:452 S ROBERTS RD
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1136
Practice Address - Country:US
Practice Address - Phone:610-525-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-05
Last Update Date:2016-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0189701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical