Provider Demographics
NPI:1992466494
Name:SILL, LINDSEY ERIN (LSCSW)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:ERIN
Last Name:SILL
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1087
Mailing Address - Street 2:
Mailing Address - City:MEADE
Mailing Address - State:KS
Mailing Address - Zip Code:67864-1087
Mailing Address - Country:US
Mailing Address - Phone:806-239-3936
Mailing Address - Fax:
Practice Address - Street 1:111 E 2ND ST
Practice Address - Street 2:
Practice Address - City:LIBERAL
Practice Address - State:KS
Practice Address - Zip Code:67901-3855
Practice Address - Country:US
Practice Address - Phone:806-239-3936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS055381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical