Provider Demographics
NPI:1023481678
Name:CAVALLERO, LINDSEY (LMHC ATR)
Entity type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:
Last Name:CAVALLERO
Suffix:
Gender:F
Credentials:LMHC ATR
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:BEAVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC ATR
Mailing Address - Street 1:333 EAST ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-5369
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:333 EAST ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-5369
Practice Address - Country:US
Practice Address - Phone:413-629-1159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-04
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9553101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health