Provider Demographics
NPI:1831804954
Name:LEE, LINDSEY M (LICSW)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:M
Last Name:LEE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21383 BRICK STACK LN
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-6686
Mailing Address - Country:US
Mailing Address - Phone:334-791-5926
Mailing Address - Fax:
Practice Address - Street 1:8390 GAYFER ROAD EXT
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-3050
Practice Address - Country:US
Practice Address - Phone:251-286-5458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5241C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical