Provider Demographics
NPI:1457625063
Name:ADAMS, LINDSAY NICOLE
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:NICOLE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 SE 9TH AVE
Mailing Address - Street 2:APT 17
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-7385
Mailing Address - Country:US
Mailing Address - Phone:541-941-5744
Mailing Address - Fax:
Practice Address - Street 1:305 SE 9TH AVE
Practice Address - Street 2:APT 17
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-7385
Practice Address - Country:US
Practice Address - Phone:541-941-5744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-28
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW142701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical