Provider Demographics
NPI:1366207037
Name:LINDSAY, AMANDA MELANIE (MSW, LSW)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:MELANIE
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:GLASS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5103 ALMOND SUNSET PL
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-4196
Mailing Address - Country:US
Mailing Address - Phone:360-521-6053
Mailing Address - Fax:
Practice Address - Street 1:16900 SCIENCE DR STE 208-210
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-4401
Practice Address - Country:US
Practice Address - Phone:240-922-0630
Practice Address - Fax:703-841-1315
Is Sole Proprietor?:No
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW1360371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical