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NPI Code Detail

MEDICARE: MRS. LYNN MARIE HEFFERN LCSW

MEDICARE:  MRS. LYNN MARIE HEFFERN  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 Worker095674NY

General Provider Information

NPI Number : 1720852718
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LYNN MARIE HEFFERN LCSW
Provider Business Mailing Address
First Line : 91 ORCHARD ST
Second Line :
City : DELMAR
State : NY
Zip : 12054-1620
Country : US
Telephone Number : 610-716-8395
Fax Number :
Provider Business Practice Location Address
First Line : 129 MAPLE AVE
Second Line :
City : VOORHEESVILLE
State : NY
Zip : 12186-9726
Country : US
Telephone Number : 518-765-2382
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2023
Last Update Date : 11/09/2023

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Directions to “ MRS. LYNN MARIE HEFFERN LCSW” Practice Location

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