Provider Demographics
NPI:1063551398
Name:KROGH, LINDSEY BETH (LCSW)
Entity type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:BETH
Last Name:KROGH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2043 WESTCLIFF DR.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-5510
Mailing Address - Country:US
Mailing Address - Phone:657-642-5442
Mailing Address - Fax:
Practice Address - Street 1:2043 WESTCLIFF DR.
Practice Address - Street 2:SUITE 200
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-5510
Practice Address - Country:US
Practice Address - Phone:657-642-5442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW224691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical