Provider Demographics
NPI:1205656840
Name:SCOFIELD, LINDSEY LAURIE
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:LAURIE
Last Name:SCOFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:LAURIE
Other - Last Name:BAUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 SADDLE MOUNTAIN RD SE
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161-6834
Mailing Address - Country:US
Mailing Address - Phone:404-754-0888
Mailing Address - Fax:
Practice Address - Street 1:20 SADDLE MOUNTAIN RD SE
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30161-6834
Practice Address - Country:US
Practice Address - Phone:404-754-0888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0082981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical