Provider Demographics
NPI:1912983180
Name:LINDSEY, VICKY SMITH (LCSW)
Entity Type:Individual
Prefix:
First Name:VICKY
Middle Name:SMITH
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 NANTUCKET DR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-2239
Mailing Address - Country:US
Mailing Address - Phone:903-819-2707
Mailing Address - Fax:
Practice Address - Street 1:2524 FM 691
Practice Address - Street 2:STE. 1
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2357
Practice Address - Country:US
Practice Address - Phone:903-893-6010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-20
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS333021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical