Healthcare Provider Details

I. General information

NPI: 1356764872
Provider Name (Legal Business Name): LINDSEY SUTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY YUROW LCSW-C

II. Dates (important events)

Enumeration Date: 02/04/2014
Last Update Date: 02/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 GERARD AVE SUITE 210
TIMONIUM MD
21093-3235
US

IV. Provider business mailing address

10 GERARD AVE SUITE 210
TIMONIUM MD
21093-3235
US

V. Phone/Fax

Practice location:
  • Phone: 443-869-6512
  • Fax:
Mailing address:
  • Phone: 443-869-6512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16125
License Number StateMD

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: