MEDICARE: STEPHANIE LINDY LSW

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	44SL06906800	NJ

General Provider Information

NPI Number	:	1235091612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE LINDY LSW

Provider Business Mailing Address
First Line	:	1 HEATHER LN
Second Line	:
City	:	WARREN
State	:	NJ
Zip	:	07059-5259
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 HEATHER LN
Second Line	:
City	:	WARREN
State	:	NJ
Zip	:	07059-5259
Country	:	US
Telephone Number	:	908-447-6905
Fax Number	:

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

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	11/24/2025

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Directions to “ STEPHANIE LINDY LSW” Practice Location

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