MEDICARE: LINDSLEY RAINES MSW, 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	44SC05324000	NJ
2	1041C0700X	Clinical Social Worker	14190	SC

General Provider Information

NPI Number	:	1659709863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSLEY RAINES MSW, LCSW

Provider Business Mailing Address
First Line	:	2444 FULFORD CT
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29466-6857
Country	:	US
Telephone Number	:	856-520-3557
Fax Number	:

Provider Business Practice Location Address
First Line	:	2444 FULFORD CT
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29466-6857
Country	:	US
Telephone Number	:	856-520-3557
Fax Number	:

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

Provider Enumeration Date	:	10/25/2013
Last Update Date	:	11/26/2024

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