Healthcare Provider Details

I. General information

NPI: 1598322919
Provider Name (Legal Business Name): LINDSEY M PRICE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2019
Last Update Date: 09/07/2021
Certification Date: 09/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2164 PLAINVIEW CTR
POWHATAN VA
23139-5756
US

IV. Provider business mailing address

6603 IRONGATE SQ
NORTH CHESTERFIELD VA
23234-6081
US

V. Phone/Fax

Practice location:
  • Phone: 804-743-0960
  • Fax:
Mailing address:
  • Phone: 804-743-0960
  • Fax: 804-743-1175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904008744
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: