Provider Demographics
NPI:1265923577
Name:BOEHNING, LINDSEY ABIGAIL (MSW)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ABIGAIL
Last Name:BOEHNING
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:ABIGAIL
Other - Last Name:STASTNY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1916 E 13TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4422
Mailing Address - Country:US
Mailing Address - Phone:918-625-9661
Mailing Address - Fax:
Practice Address - Street 1:11740 E 21ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74129-1820
Practice Address - Country:US
Practice Address - Phone:918-437-9495
Practice Address - Fax:918-560-1399
Is Sole Proprietor?:No
Enumeration Date:2018-05-22
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker