Healthcare Provider Details

I. General information

NPI: 1538859244
Provider Name (Legal Business Name): LINDSEY LEA MAURER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 FORD PKWY STE 106
SAINT PAUL MN
55116-3412
US

IV. Provider business mailing address

9325 UPLAND LN N STE 210
MAPLE GROVE MN
55369-4200
US

V. Phone/Fax

Practice location:
  • Phone: 612-915-0049
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number32460
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: