MEDICARE: LINDSAY POZZI LCSW, CADC

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
2	1041C0700X	Clinical Social Worker	149.017279	IL

General Provider Information

NPI Number	:	1477805828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY POZZI LCSW, CADC

Provider Business Mailing Address
First Line	:	555 S PERRYVILLE RD STE 222
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61108-2527
Country	:	US
Telephone Number	:	815-331-1023
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 S PERRYVILLE RD STE 222
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61108-2527
Country	:	US
Telephone Number	:	815-331-1023
Fax Number	:

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

Provider Enumeration Date	:	10/10/2012
Last Update Date	:	01/26/2026

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