Provider Demographics
NPI:1912968553
Name:FEIGENBAUM, LINDY ELLEN (LCSW, LICSW)
Entity type:Individual
Prefix:
First Name:LINDY
Middle Name:ELLEN
Last Name:FEIGENBAUM
Suffix:
Gender:F
Credentials:LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 172
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04332-0172
Mailing Address - Country:US
Mailing Address - Phone:508-494-9919
Mailing Address - Fax:
Practice Address - Street 1:1 VA CTR # 116
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-6795
Practice Address - Country:US
Practice Address - Phone:508-494-9199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1171051041C0700X
MELC146121041C0700X
NY0840831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical