Provider Demographics
NPI:1053078113
Name:CRAVEN, LINDSAY A (MSW, LSWAIC)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:A
Last Name:CRAVEN
Suffix:
Gender:F
Credentials:MSW, LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3910 1ST AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4905
Mailing Address - Country:US
Mailing Address - Phone:360-303-5604
Mailing Address - Fax:
Practice Address - Street 1:3910 1ST AVE NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4905
Practice Address - Country:US
Practice Address - Phone:360-303-5604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA610865101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical