Healthcare Provider Details

I. General information

NPI: 1215842596
Provider Name (Legal Business Name): LINDSAY LOMBARDI MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 S HALCYON RD STE 101
ARROYO GRANDE CA
93420-3174
US

IV. Provider business mailing address

330 BLACK HAWK WAY
NIPOMO CA
93444-9091
US

V. Phone/Fax

Practice location:
  • Phone: 805-801-2231
  • Fax:
Mailing address:
  • Phone: 805-801-2231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW140214
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: