Provider Demographics
NPI:1295701514
Name:CRAIGHTON, LINDSEY L (LISW)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:L
Last Name:CRAIGHTON
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 E STATE ST STE 301
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-3309
Mailing Address - Country:US
Mailing Address - Phone:641-421-2089
Mailing Address - Fax:641-450-0030
Practice Address - Street 1:103 E STATE ST STE 301
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-3309
Practice Address - Country:US
Practice Address - Phone:641-421-2089
Practice Address - Fax:641-450-0030
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00603104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA47429Medicare ID - Type Unspecified
IAS25489Medicare UPIN