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NPI Code Detail

MEDICARE: MRS. LINDSEY NICOLE THORP LCSW

MEDICARE:  MRS. LINDSEY NICOLE THORP  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
11041C0700XClinical Social WorkerSW21569FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568156669
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDSEY NICOLE THORP LCSW
Provider Business Mailing Address
First Line : 2251 THORP RD
Second Line :
City : GREEN COVE SPRINGS
State : FL
Zip : 32043-8216
Country : US
Telephone Number : 904-803-9542
Fax Number :
Provider Business Practice Location Address
First Line : 2251 THORP RD
Second Line :
City : GREEN COVE SPRINGS
State : FL
Zip : 32043-8216
Country : US
Telephone Number : 904-803-9542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2023
Last Update Date : 06/05/2023

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Directions to “ MRS. LINDSEY NICOLE THORP LCSW” Practice Location

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