MEDICARE: LINDSEY L CRAIGHTON LISW

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	104100000X	Social Worker	00603	IA

General Provider Information

NPI Number	:	1295701514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY L CRAIGHTON LISW

Provider Business Mailing Address
First Line	:	103 E STATE ST STE 301
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-3309
Country	:	US
Telephone Number	:	641-421-2089
Fax Number	:	641-450-0030

Provider Business Practice Location Address
First Line	:	103 E STATE ST STE 301
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-3309
Country	:	US
Telephone Number	:	641-421-2089
Fax Number	:	641-450-0030

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

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	03/30/2022

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