Healthcare Provider Details

I. General information

NPI: 1972410520
Provider Name (Legal Business Name): LINDSEY HILDEBRAND CSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 NE KENNETH FORD DR
ROSEBURG OR
97470-1042
US

IV. Provider business mailing address

338 E TRAVELERS TRL
BURNSVILLE MN
55337-2885
US

V. Phone/Fax

Practice location:
  • Phone: 541-672-9596
  • Fax:
Mailing address:
  • Phone: 651-410-9663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: