Provider Demographics
NPI:1427880681
Name:EDQUIST, LINDSAY ANN (LMSW)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ANN
Last Name:EDQUIST
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 OLEANDER DR
Mailing Address - Street 2:
Mailing Address - City:LAGUNA VISTA
Mailing Address - State:TX
Mailing Address - Zip Code:78578-2921
Mailing Address - Country:US
Mailing Address - Phone:956-572-4620
Mailing Address - Fax:
Practice Address - Street 1:142 OLEANDER DR
Practice Address - Street 2:
Practice Address - City:LAGUNA VISTA
Practice Address - State:TX
Practice Address - Zip Code:78578-2921
Practice Address - Country:US
Practice Address - Phone:956-572-4620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT101461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical