Robert Andrew Lindsay Jr., MSW, LCSW

Individual provider Active NPI Clinical Social Worker · Sophia, NC

NPI 1124383054 · NPPES record last updated Jul 6, 2012

Key facts

NPI
1124383054
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C006581 (NC)
Practice address
2962 Youth Unlimited Dr
Sophia, NC 27350-8481
Phone
(336) 861-9243
Fax
(336) 861-9253
NPI assigned
Jul 6, 2012
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C006581NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Youth Unlimited Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C006581 NC Yes

Addresses

Primary practice location

2962 Youth Unlimited Dr
Sophia, NC 27350-8481

Mailing address

2962 Youth Unlimited Dr
Sophia, NC 27350-8481
Phone (336) 861-9243

Other providers in Sophia, NC

All providers in Sophia, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.