Individual
LINDSEY BLAIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
50 RIVERSIDE AVE, WESTPORT, CT 06880-4242
(917) 232-7605
Mailing address
36 HYDE LN, WESTPORT, CT 06880-3916
(917) 232-7605
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5487
CT
1041C0700X
Clinical Social Worker
13307
CT
Other
Enumeration date
11/28/2020
Last updated
09/19/2024
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