Provider Demographics
NPI:1740332204
Name:LINDSEY, AMY JO (LCSW)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:JO
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2676 CHARLESTOWN ROAD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150
Mailing Address - Country:US
Mailing Address - Phone:812-948-8522
Mailing Address - Fax:812-948-8613
Practice Address - Street 1:2676 CHARLESTOWN ROAD
Practice Address - Street 2:SUITE 9
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150
Practice Address - Country:US
Practice Address - Phone:812-948-8522
Practice Address - Fax:812-948-8613
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34004396A104100000X
KY1468104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker