Healthcare Provider Details

I. General information

NPI: 1043173255
Provider Name (Legal Business Name): LINDSAY STEWART LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12705 CENTURY DR UNIT C
ALPHARETTA GA
30009-8378
US

IV. Provider business mailing address

12705 CENTURY DR UNIT C
ALPHARETTA GA
30009-8378
US

V. Phone/Fax

Practice location:
  • Phone: 678-852-4224
  • Fax:
Mailing address:
  • Phone: 678-852-4224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberCSW009750
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: