Healthcare Provider Details

I. General information

NPI: 1255089439
Provider Name (Legal Business Name): LINDSAY SUMMERS LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2022
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 W REDWOOD ST STE 201
BALTIMORE MD
21201-1708
US

IV. Provider business mailing address

1383 HADLEY CIR UNIT 2305
MYRTLE BEACH SC
29577-8210
US

V. Phone/Fax

Practice location:
  • Phone: 843-284-9309
  • Fax:
Mailing address:
  • Phone: 843-284-9306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number26921
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number18359
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC200004141
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: