MEDICARE: LINDSAY ANDERSON

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
1	1041C0700X	Clinical Social Worker	113441	CA

General Provider Information

NPI Number	:	1184379463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY ANDERSON

Provider Business Mailing Address
First Line	:	9455 CLAIREMONT MESA BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1297
Country	:	US
Telephone Number	:	833-574-2273
Fax Number	:

Provider Business Practice Location Address
First Line	:	3838 CAMINO DEL RIO N STE 380
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1764
Country	:	US
Telephone Number	:	619-984-9510
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2022
Last Update Date	:	08/13/2024

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Directions to “ LINDSAY ANDERSON ” Practice Location

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