NPI Code Details Logo

NPI 1396537155

NPI 1396537155 : LINDSEY MARIE CULLMER LMSW : MIDDLEBURY, CT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1396537155
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LINDSEY MARIE CULLMER LMSW
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/19/2025
-----------------------------------------------------
    Last Update Date     |    05/19/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    390 MIDDLEBURY RD STE 2 
-----------------------------------------------------
    City                 |    MIDDLEBURY
-----------------------------------------------------
    State                |    CT
-----------------------------------------------------
    Zip                  |    06762-2634
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    203-558-1143
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    279 MAIN ST APT A1 
-----------------------------------------------------
    City                 |    FARMINGTON
-----------------------------------------------------
    State                |    CT
-----------------------------------------------------
    Zip                  |    06032-2938
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    860-733-5137
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    104100000X
-----------------------------------------------------
    Taxonomy Name        |    Social Worker
-----------------------------------------------------
    License Number       |    11011
-----------------------------------------------------
    License Number State |    CT
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.