Provider Demographics
NPI:1548493141
Name:METLI, LINDSAY NICOLE (LCSW)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:NICOLE
Last Name:METLI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:NICOLE
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 51161
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82605-1161
Mailing Address - Country:US
Mailing Address - Phone:307-797-8377
Mailing Address - Fax:833-300-9764
Practice Address - Street 1:145 S DURBIN ST STE 104
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2565
Practice Address - Country:US
Practice Address - Phone:307-797-8377
Practice Address - Fax:833-300-9764
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-29
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
UT555664035021041C0700X
WYLCSW-12041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY155663100Medicaid