Healthcare Provider Details

I. General information

NPI: 1992273387
Provider Name (Legal Business Name): LINDSAY JEAN WEBER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDSAY JEAN MOAN LCSW

II. Dates (important events)

Enumeration Date: 11/05/2018
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2813 FOUNDERS POINT DR
MONROE NC
28110-0072
US

IV. Provider business mailing address

2813 FOUNDERS POINT DR
MONROE NC
28110-0072
US

V. Phone/Fax

Practice location:
  • Phone: 207-560-7564
  • Fax:
Mailing address:
  • Phone: 207-560-7564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC19501
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: