Lindsay Ann Detlie, LCSW
Social Worker, Clinical in Charlottesville, VA. Individual provider (NPI-1).
NPI number1982169488
StatusActive
Last updated in NPPESFeb 8, 2019
Details
- NPI
- 1982169488
- Entity type
- Individual (NPI-1)
- Name
- Lindsay Ann Detlie
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2019
- Last updated
- Feb 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904010870 | VA | Yes |
Practice location
223 W Main St Ste FCharlottesville, VA 22902-5071
Phone 434-270-0892
Mailing address
120 Georgianna AlyCharlottesville, VA 22901-3211
Phone 757-685-1401
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