Provider Demographics
NPI:1861190878
Name:HEDDLESTON SMITH, LINDSEY LEE (LMSW)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:LEE
Last Name:HEDDLESTON SMITH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:LINDSEY
Other - Middle Name:LEE
Other - Last Name:HEDDLESTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:503 W 33RD ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-2320
Mailing Address - Country:US
Mailing Address - Phone:443-262-1936
Mailing Address - Fax:
Practice Address - Street 1:911 W 29TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-3506
Practice Address - Country:US
Practice Address - Phone:443-262-1936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker