Provider Demographics
NPI:1194437038
Name:MAREK, LINDSEY NICOLE (EDD, LMSW, LCDC-I)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:NICOLE
Last Name:MAREK
Suffix:
Gender:F
Credentials:EDD, LMSW, LCDC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12040 STATE HIGHWAY 53
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76501-3464
Mailing Address - Country:US
Mailing Address - Phone:254-718-2132
Mailing Address - Fax:
Practice Address - Street 1:12040 STATE HIGHWAY 53
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76501-3464
Practice Address - Country:US
Practice Address - Phone:254-718-2132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65195104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker