Provider Demographics
NPI:1932767076
Name:HEATH, LINDSEY R (LMSW)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:R
Last Name:HEATH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24501 SANFORD CORNERS RD
Mailing Address - Street 2:
Mailing Address - City:CALCIUM
Mailing Address - State:NY
Mailing Address - Zip Code:13616-2114
Mailing Address - Country:US
Mailing Address - Phone:315-771-4052
Mailing Address - Fax:
Practice Address - Street 1:24501 SANFORD CORNERS RD
Practice Address - Street 2:
Practice Address - City:CALCIUM
Practice Address - State:NY
Practice Address - Zip Code:13616-2114
Practice Address - Country:US
Practice Address - Phone:315-771-4052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-04
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106544104100000X
NY1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker