Provider Demographics
NPI:1316498801
Name:NELSON, LINDSAY (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:NELSON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-2656
Mailing Address - Country:US
Mailing Address - Phone:732-970-8555
Mailing Address - Fax:732-217-1749
Practice Address - Street 1:106 MAIN ST
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-2656
Practice Address - Country:US
Practice Address - Phone:732-970-8555
Practice Address - Fax:732-217-1749
Is Sole Proprietor?:No
Enumeration Date:2016-10-19
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053872001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical