Provider Demographics
NPI:1366065989
Name:ORLOWSKI, LINDSAY M
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:M
Last Name:ORLOWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13317 COUNTY HIGHWAY 12
Mailing Address - Street 2:
Mailing Address - City:VENEDY
Mailing Address - State:IL
Mailing Address - Zip Code:62214-1103
Mailing Address - Country:US
Mailing Address - Phone:618-317-1537
Mailing Address - Fax:
Practice Address - Street 1:151 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62523-1206
Practice Address - Country:US
Practice Address - Phone:217-420-4776
Practice Address - Fax:217-362-6290
Is Sole Proprietor?:No
Enumeration Date:2020-05-19
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490232321041C0700X
IL150-104132101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor