Provider Demographics
NPI:1730850843
Name:LINDSEY, ANITA (LMSW, BHP)
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:LMSW, BHP
Other - Prefix:
Other - First Name:ANITA
Other - Middle Name:
Other - Last Name:WEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7700 W ASPERA BLVD APT 1013
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-7919
Mailing Address - Country:US
Mailing Address - Phone:602-596-7222
Mailing Address - Fax:
Practice Address - Street 1:134 N 4TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-3296
Practice Address - Country:US
Practice Address - Phone:516-595-3463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-158861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical