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Individual
LINDSEY RENEE WORM
Active
Individual
LINDSEY RENEE WORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
19254
MD
1041C0700X
Clinical Social Worker
Primary
19254
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259147-000
MAGELLAN BEHAVIORAL HEALTH
MD
01
—
346646
TRICARE/MHN
MD
05
—
609550002
—
MD
01
—
7840093
AETNA
MD
01
—
R968
BCBS
MD
Enumeration date
06/14/2015
Last updated
09/05/2017
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