Provider Demographics
NPI:1881758704
Name:LINDHOLM, JAMES (LISW-S)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:LINDHOLM
Suffix:
Gender:M
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 N. JAMES RD
Mailing Address - Street 2:VETERANS ADMINISTRATION - COLUMBUS ACC
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219
Mailing Address - Country:US
Mailing Address - Phone:614-257-5200
Mailing Address - Fax:614-257-5205
Practice Address - Street 1:3349 E. LIVINGSTON
Practice Address - Street 2:COMMONS AT LIVINGSTON
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43227
Practice Address - Country:US
Practice Address - Phone:614-484-1834
Practice Address - Fax:614-257-5205
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00043251041C0700X
OHI-043251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical