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NPI Code Detail

MEDICARE: MRS. AMY JO LYNCH LCSW

MEDICARE: MRS. AMY JO LYNCH LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker254175KY

General Provider Information

NPI Number : 1144871062
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY JO LYNCH LCSW
Provider Business Mailing Address
First Line : 324 KELLI ROSE WAY
Second Line :
City : LEXINGTON
State : KY
Zip : 40514-4087
Country : US
Telephone Number : 859-559-9196
Fax Number :
Provider Business Practice Location Address
First Line : 2250 LEESTOWN RD BLDG 25
Second Line :
City : LEXINGTON
State : KY
Zip : 40511-1052
Country : US
Telephone Number : 859-233-4511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2019
Last Update Date : 01/21/2026

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