Healthcare Provider Details

I. General information

NPI: 1073447827
Provider Name (Legal Business Name): LINDSAY G IBRAHIM LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8181 MAIN ST APT 2
ELLICOTT CITY MD
21043-4929
US

IV. Provider business mailing address

8181 MAIN ST APT 2
ELLICOTT CITY MD
21043-4929
US

V. Phone/Fax

Practice location:
  • Phone: 410-505-0062
  • Fax: 410-650-5893
Mailing address:
  • Phone: 410-505-0062
  • Fax: 410-650-5893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34901
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: