Lindau, Roberta
Lindau, Roberta is an individual health care provider with primary practice located at 10545 Colerain Rd , Saint Marys GA 31558-3720. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lindau, Roberta can be contacted via phone (912) 882-3662.Contact Information
Primary practice address
10545 Colerain Rd
Saint Marys GA 31558-3720
Phone: (912) 882-3662
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW000885 | Georgia |
Profile Details
| NPI number | 1154432664 |
|---|---|
| LBN Legal business name | Lindau, Roberta |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154432664 | NPPES |
| Georgia | Other | 10753192 | CAQH |
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