Provider Demographics
NPI:1215292891
Name:GAERTNER, LINDSAY (MSW)
Entity type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:
Last Name:GAERTNER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:KINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 CHILDRENS DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-2664
Mailing Address - Country:US
Mailing Address - Phone:614-938-0013
Mailing Address - Fax:614-938-0594
Practice Address - Street 1:7720 THORNCROFT CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-1906
Practice Address - Country:US
Practice Address - Phone:513-312-1686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-10
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI13032521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2846675Medicaid