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NPI Code Detail

MEDICARE: LINDSAY B SCHUPBACH LCSW

MEDICARE:   LINDSAY B SCHUPBACH  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 WorkerCSW.09931478CO
21041C0700XClinical Social Worker11955-CAR

General Provider Information

NPI Number : 1699402644
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY B SCHUPBACH LCSW
Provider Business Mailing Address
First Line : 111 E DAVIDSON ST
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72701-3413
Country : US
Telephone Number : 479-397-0375
Fax Number :
Provider Business Practice Location Address
First Line : 111 E DAVIDSON ST
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72701-3413
Country : US
Telephone Number : 479-397-0375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2022
Last Update Date : 02/10/2026

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Directions to “ LINDSAY B SCHUPBACH LCSW” Practice Location

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