MEDICARE: LINDSEY LEE HEDDLESTON SMITH LMSW

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		TX

General Provider Information

NPI Number	:	1861190878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY LEE HEDDLESTON SMITH LMSW

Provider Business Mailing Address
First Line	:	503 W 33RD ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-2320
Country	:	US
Telephone Number	:	443-262-1936
Fax Number	:

Provider Business Practice Location Address
First Line	:	911 W 29TH ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-3506
Country	:	US
Telephone Number	:	443-262-1936
Fax Number	:

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

Provider Enumeration Date	:	02/20/2023
Last Update Date	:	02/20/2023

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Directions to “ LINDSEY LEE HEDDLESTON SMITH LMSW” Practice Location

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