MEDICARE: LINDSAY LUMAN-LATSHAW LCSW

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	LCSW-18480	AZ
2	104100000X	Social Worker	LMSW-14154	AZ

General Provider Information

NPI Number	:	1497036248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY LUMAN-LATSHAW LCSW

Provider Business Mailing Address
First Line	:	2120 S MCCLINTOCK DR STE 105
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85282-2692
Country	:	US
Telephone Number	:	480-804-0326
Fax Number	:

Provider Business Practice Location Address
First Line	:	2120 S MCCLINTOCK DR STE 105
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85282-2692
Country	:	US
Telephone Number	:	480-804-0326
Fax Number	:

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

Provider Enumeration Date	:	09/07/2011
Last Update Date	:	04/07/2026

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