Provider Demographics
NPI:1538991641
Name:GREENWALD, LINDSEY ANN (LLMSW)
Entity type:Individual
Prefix:MISS
First Name:LINDSEY
Middle Name:ANN
Last Name:GREENWALD
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 DORCHESTER DR APT 149
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4023
Mailing Address - Country:US
Mailing Address - Phone:248-916-5360
Mailing Address - Fax:
Practice Address - Street 1:117 W 3RD ST
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-3831
Practice Address - Country:US
Practice Address - Phone:248-916-5360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical