Lindsey, Tywan J

Lindsey, Tywan J is an individual health care provider with primary practice located at 1730 Kernersville Medical Pkwy Ste 101 , Kernersville NC 27284-7198. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lindsey, Tywan J can be contacted via phone (336) 564-4950.

Contact Information

Primary practice address
1730 Kernersville Medical Pkwy Ste 101 Kernersville NC 27284-7198
Phone: (336) 564-4950
Fax: (336) 564-4959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005267 North Carolina

Profile Details

NPI number 1023129152
LBN Legal business name Lindsey, Tywan J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 26th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023129152 NPPES
North Carolina MEDICAID 6106350

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