Healthcare Provider Details
I. General information
NPI: 1659815421
Provider Name (Legal Business Name): LINDSAY CUETO-DELGADO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/13/2016
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8401 HARCOURT RD
INDIANAPOLIS IN
46260-2036
US
IV. Provider business mailing address
8401 HARCOURT RD
INDIANAPOLIS IN
46260-2036
US
V. Phone/Fax
- Phone: 317-338-4600
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | I. 1000358 .SUPV |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 34008440A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: