Healthcare Provider Details

I. General information

NPI: 1770847261
Provider Name (Legal Business Name): LINDSAY EVANS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY BURNETT MSW

II. Dates (important events)

Enumeration Date: 06/28/2012
Last Update Date: 03/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 OAKLAND AVE
ELKHART IN
46517-1533
US

IV. Provider business mailing address

7819 LANGWOOD DR
INDIANAPOLIS IN
46268-4793
US

V. Phone/Fax

Practice location:
  • Phone: 317-431-6938
  • Fax:
Mailing address:
  • Phone: 317-431-6938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34007411A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: