Healthcare Provider Details

I. General information

NPI: 1013399732
Provider Name (Legal Business Name): LINDSAY CAMPLIN MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2015
Last Update Date: 10/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 KESSLER BOULEVARD EAST DR STE 235
INDIANAPOLIS IN
46220-2897
US

IV. Provider business mailing address

2620 KESSLER BOULEVARD EAST DR STE 235
INDIANAPOLIS IN
46220-2897
US

V. Phone/Fax

Practice location:
  • Phone: 317-762-8084
  • Fax:
Mailing address:
  • Phone: 317-762-8084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number33007696A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34008151A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: