Provider Demographics
NPI:1811519879
Name:MCINTYRE, LINDSEY C (LICSW)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:C
Last Name:MCINTYRE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:SCHRAMM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15818 N HAZARD RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-8285
Mailing Address - Country:US
Mailing Address - Phone:216-262-4443
Mailing Address - Fax:
Practice Address - Street 1:400 S JEFFERSON ST STE 200
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-3143
Practice Address - Country:US
Practice Address - Phone:216-262-4443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW608332631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical