Organization Name: | LINDSY WAGNER, LLC |
NPI Number: | 1235402611 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDSY K YARGER-WAGNER (OWNER) |
Mailing Address: | 4500 Sunny Isle Ste 301 Christiansted |
State: | VI US |
Postal Code: | 008204493 |
Phone Number: | 3407190685 |
Fax Number: | 3407190690 |
NPI Enumeration Date: | 02/16/2012 |
NPI Last Update Date: | 02/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2-14480-1B |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |