Healthcare Provider Details

I. General information

NPI: 1326517558
Provider Name (Legal Business Name): LINDSEY ANN SPISHAK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2018
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 RICKETTS DR
WINCHESTER VA
22601-3676
US

IV. Provider business mailing address

220 CAMPUS BLVD STE 320
WINCHESTER VA
22601-2889
US

V. Phone/Fax

Practice location:
  • Phone: 540-535-1112
  • Fax: 540-535-1155
Mailing address:
  • Phone: 540-536-5100
  • Fax: 540-536-0235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904010553
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: