MEDICARE: MR. EDMUND RUSSELL LYNN JR. LCSW LICSW

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	0904002802LCSW	VA
2	1041C0700X	Clinical Social Worker	LC0300900LICSW	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0904002802	OTHER	VA	LCSW
2	LC0300900	OTHER	DC	LICSW

General Provider Information

NPI Number	:	1770784415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EDMUND RUSSELL LYNN JR. LCSW LICSW

Provider Business Mailing Address
First Line	:	3069 S WOODROW ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22206-2114
Country	:	US
Telephone Number	:	703-903-9696
Fax Number	:	703-821-2505

Provider Business Practice Location Address
First Line	:	6033 LITTLE FALLS RD
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22207
Country	:	US
Telephone Number	:	703-903-9696
Fax Number	:	703-821-2505

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

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	03/08/2026

Similar Medicare Providers

1851241681 — SARAH ATWA
Practice Location Address:

2500 N HARRISON ST
ARLINGTON, VA
22207-1600

Practice Phone: 703-538-6911
Practice Fax:

1174526859 — DR. SHAHROKH SHAHVERDI D.C.
Practice Location Address:

2160 N GLEBE RD
ARLINGTON, VA
22207-2262

Practice Phone: 703-522-8855
Practice Fax: 703-522-4574

1053313189 — MS. KATHLEEN ANNE MALLIARAKIS RN, CNP
Practice Location Address:

3925 N ABINGDON ST
ARLINGTON, VA
22207-2919

Practice Phone: 703-237-7303
Practice Fax: 703-237-7304

1417956814 — DR. MARY ELLEN GALLAGHER M.D.
Practice Location Address:

2501 N GLEBE RD , SUITE 301
ARLINGTON, VA
22207-3558

Practice Phone: 703-527-6664
Practice Fax: 703-527-0655

1962402792 — JEAN-GILLES TCHABO M.D.
Practice Location Address:

5275 LEE HWY , SUITE G-1
ARLINGTON, VA
22207-1619

Practice Phone: 703-558-6591
Practice Fax: 703-558-6496

1669474177 — DR. KATHRYN MILLER KROGH PHD
Practice Location Address:

3101 N NOTTINGHAM ST
ARLINGTON, VA
22207-1363

Practice Phone: 703-538-6616
Practice Fax:

Directions to “ MR. EDMUND RUSSELL LYNN JR. LCSW LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.