Provider Demographics
NPI:1154139673
Name:LINDSAY, KATIE LAUREN (LCSW)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:LAUREN
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:LAUREN
Other - Last Name:MADISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1401 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37408-1101
Mailing Address - Country:US
Mailing Address - Phone:423-207-4712
Mailing Address - Fax:
Practice Address - Street 1:1401 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37408-1101
Practice Address - Country:US
Practice Address - Phone:423-207-4712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN93191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical