Healthcare Provider Details

I. General information

NPI: 1821693375
Provider Name (Legal Business Name): MRS. LINDSEY NOGUEIRA-MAYO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2020
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 BELMONT ST
WORCESTER MA
01605-2964
US

IV. Provider business mailing address

8 SULLIVAN BLVD
OXFORD MA
01540-2046
US

V. Phone/Fax

Practice location:
  • Phone: 508-755-0436
  • Fax:
Mailing address:
  • Phone: 774-573-3323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1121023
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number19500
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: