Provider Demographics
NPI:1316112691
Name:LINDSEY, REBECCA ANNE (LCSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANNE
Last Name:LINDSEY
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 1:1724 SILVERGATE RD
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-3338
Mailing Address - Country:US
Mailing Address - Phone:970-698-9996
Mailing Address - Fax:720-702-4725
Practice Address - Street 1:2020 LOWE ST UNIT 202
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3606
Practice Address - Country:US
Practice Address - Phone:970-698-9996
Practice Address - Fax:720-702-4725
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOB4121Medicare PIN