=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053264432
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LINDSEY WALSH MSW, LICSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/17/2026
-----------------------------------------------------
Last Update Date | 02/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 480 METACOM AVE
-----------------------------------------------------
City | BRISTOL
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02809-5191
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-253-8000
-----------------------------------------------------
Fax | 401-342-7063
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 480 METACOM AVE
-----------------------------------------------------
City | BRISTOL
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02809-5191
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-253-8000
-----------------------------------------------------
Fax | 401-342-7063
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | ISW02234
-----------------------------------------------------
License Number State | RI
-----------------------------------------------------