MEDICARE: LINDSAY HILLENBERG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CSW04358	RI

General Provider Information

NPI Number	:	1003778622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY HILLENBERG

Provider Business Mailing Address
First Line	:	25 POTTERS AVE
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-3043
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 BALD HILL RD
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-1617
Country	:	US
Telephone Number	:	401-349-3131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “ LINDSAY HILLENBERG ” Practice Location

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