MEDICARE: LYNN DENISE BARNARD 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	21312	CA
2	1041C0700X	Clinical Social Worker	LCS21312	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	GA275Z	OTHER	CA	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	GA275Z	OTHER	CA	MENTAL HEALTH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952434136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNN DENISE BARNARD LCSW

Provider Business Mailing Address
First Line	:	879 W 190TH ST STE 400
Second Line	:
City	:	GARDENA
State	:	CA
Zip	:	90248-4223
Country	:	US
Telephone Number	:	233-328-2960
Fax Number	:

Provider Business Practice Location Address
First Line	:	879 W 190TH ST STE 400
Second Line	:
City	:	GARDENA
State	:	CA
Zip	:	90248-4223
Country	:	US
Telephone Number	:	323-328-2960
Fax Number	:

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

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	06/17/2022

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