Provider Demographics
NPI:1538433297
Name:PITZENBERGER, LYNDSIE MARIE (LMSW)
Entity type:Individual
Prefix:
First Name:LYNDSIE
Middle Name:MARIE
Last Name:PITZENBERGER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:LYNDSIE
Other - Middle Name:
Other - Last Name:SWICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:980 IOWA AVE
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-7216
Mailing Address - Country:US
Mailing Address - Phone:641-232-3222
Mailing Address - Fax:
Practice Address - Street 1:980 IOWA AVE
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-7216
Practice Address - Country:US
Practice Address - Phone:641-232-3222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007786104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker