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NPI 1699015081

NPI 1699015081 : LIANNA TSANGARIDES LINDSEY : WATERTOWN, CT

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General NPI Number Information
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    NPI Number           |    1699015081
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    Entity Type          |    Individual 
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    Provider Name        |    LIANNA TSANGARIDES LINDSEY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/21/2013
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    Last Update Date     |    11/20/2025
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Provider Practice Location Address
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    Address Line         |    51 DEPOT ST STE 522 
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    City                 |    WATERTOWN
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    State                |    CT
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    Zip                  |    06795-2685
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    Country              |    US
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    Telephone            |    860-387-5689
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1122 SUGGS PASS 
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    City                 |    MT JULIET
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    State                |    TN
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    Zip                  |    37122-3039
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    Country              |    US
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    Telephone            |    860-387-5689
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    007122
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    License Number State |    CT
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