Provider Demographics
NPI:1730529975
Name:GRESS, LINDSAY ELLEN (LSW)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:ELLEN
Last Name:GRESS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 GROUSE HILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH ABINGTON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18414-8108
Mailing Address - Country:US
Mailing Address - Phone:570-760-0552
Mailing Address - Fax:
Practice Address - Street 1:502 N BLAKELY ST
Practice Address - Street 2:
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18512-1943
Practice Address - Country:US
Practice Address - Phone:570-342-8434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW129528104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker