Healthcare Provider Details

I. General information

NPI: 1063323798
Provider Name (Legal Business Name): LINDSAY FORRESTER LISW-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4323 GLENWAY AVE
CINCINNATI OH
45205-1507
US

IV. Provider business mailing address

3973 DELMAR AVE
CINCINNATI OH
45211-3531
US

V. Phone/Fax

Practice location:
  • Phone: 513-363-9871
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberI.1901981-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: