Provider Demographics
NPI:1750368411
Name:PINEDA, LINDSEY T (LICSW)
Entity type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:T
Last Name:PINEDA
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:LINDSEY
Other - Middle Name:T
Other - Last Name:SCHUTTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:9116 196TH STREET CT E
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98338-6462
Mailing Address - Country:US
Mailing Address - Phone:253-414-8250
Mailing Address - Fax:
Practice Address - Street 1:9600 VETERANS DR SW
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-0001
Practice Address - Country:US
Practice Address - Phone:253-583-2321
Practice Address - Fax:253-589-4035
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-23
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW00092091041C0700X
TX38359104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker