Provider Demographics
NPI:1669128922
Name:JAMES, LINDSAY (LISW)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:JAMES
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 1:2819 S BUCHANAN RD
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-9066
Mailing Address - Country:US
Mailing Address - Phone:419-603-4387
Mailing Address - Fax:419-862-7873
Practice Address - Street 1:219 S FRONT ST STE 301
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-3048
Practice Address - Country:US
Practice Address - Phone:419-603-4387
Practice Address - Fax:419-862-7873
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-25
Last Update Date:2025-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
OHI.24052761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty