MEDICARE: LINDSAY STONECASH-BAUER LCSW

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

General Provider Information

NPI Number	:	1033731799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDSAY STONECASH-BAUER LCSW

Provider Business Mailing Address
First Line	:	2530 COLORADO AVE UNIT 2A
Second Line	:
City	:	DURANGO
State	:	CO
Zip	:	81301-4761
Country	:	US
Telephone Number	:	970-946-8002
Fax Number	:

Provider Business Practice Location Address
First Line	:	2530 COLORADO AVE UNIT 2A
Second Line	:
City	:	DURANGO
State	:	CO
Zip	:	81301-4761
Country	:	US
Telephone Number	:	970-946-8002
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LINDSAY STONECASH
Credential	:
Telephone Number	:	970-946-8002

Provider Enumeration Date	:	05/15/2020
Last Update Date	:	05/15/2020

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