Provider Demographics
NPI:1487286670
Name:WETZEL, LINDY KAY (LCSW)
Entity type:Individual
Prefix:MISS
First Name:LINDY
Middle Name:KAY
Last Name:WETZEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:LINDY
Other - Middle Name:KAY
Other - Last Name:CAMARATA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:832 E KIOWA ST APT 1
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-3590
Mailing Address - Country:US
Mailing Address - Phone:719-360-9045
Mailing Address - Fax:
Practice Address - Street 1:832 E KIOWA ST APT 1
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-3590
Practice Address - Country:US
Practice Address - Phone:719-360-9045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099260421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical