Provider Demographics
NPI:1174048482
Name:LINDO, SIERA S (LCSW)
Entity type:Individual
Prefix:
First Name:SIERA
Middle Name:S
Last Name:LINDO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SIERA
Other - Middle Name:S
Other - Last Name:WASHINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8707 HOLLOW CREEK CIR APT 201
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-7568
Mailing Address - Country:US
Mailing Address - Phone:917-365-4693
Mailing Address - Fax:
Practice Address - Street 1:10926 DAVID TAYLOR DRIVE SUITE 120 #1246
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262
Practice Address - Country:US
Practice Address - Phone:917-365-4693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-08
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0166561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical