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NPI Code Detail

MEDICARE: MRS. LINDSAY G IBRAHIM LMSW

MEDICARE: MRS. LINDSAY G IBRAHIM LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker34901MD

General Provider Information

NPI Number : 1073447827
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDSAY G IBRAHIM LMSW
Provider Business Mailing Address
First Line : 8181 MAIN ST APT 2
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-4929
Country : US
Telephone Number : 410-505-0062
Fax Number : 410-650-5893
Provider Business Practice Location Address
First Line : 8181 MAIN ST APT 2
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-4929
Country : US
Telephone Number : 410-505-0062
Fax Number : 410-650-5893
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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