MEDICARE: MS. LYNN MCPHERSON CEARLEY 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
1	1041C0700X	Clinical Social Worker	26118	TX

General Provider Information

NPI Number	:	1679533095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LYNN MCPHERSON CEARLEY LCSW

Provider Business Mailing Address
First Line	:	2628 SAN MEDINA AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-3116
Country	:	US
Telephone Number	:	214-328-1471
Fax Number	:	214-456-5940

Provider Business Practice Location Address
First Line	:	6300 HARRY HINES BLVD
Second Line	:	SUITE 900
City	:	DALLAS
State	:	TX
Zip	:	75235-5259
Country	:	US
Telephone Number	:	214-456-8980
Fax Number	:	214-456-5940

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	07/08/2007

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