Provider Demographics
NPI:1417578295
Name:LINDERMAN, GRACE WILLMS (LCSW)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:WILLMS
Last Name:LINDERMAN
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10400 MALLARD CREEK RD STE 250
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-5202
Mailing Address - Country:US
Mailing Address - Phone:727-349-4926
Mailing Address - Fax:727-498-2489
Practice Address - Street 1:10400 MALLARD CREEK RD STE 250
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-5202
Practice Address - Country:US
Practice Address - Phone:727-349-4926
Practice Address - Fax:727-498-2489
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-03
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW166641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical