Healthcare Provider Details

I. General information

NPI: 1821189481
Provider Name (Legal Business Name): LYNNE FRYER L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 COOMBS ST. SUITE 257
NAPA CA
94559-9985
US

IV. Provider business mailing address

900 COOMBS ST. SUITE 257
NAPA CA
94559-9985
US

V. Phone/Fax

Practice location:
  • Phone: 707-259-8365
  • Fax: 707-253-6117
Mailing address:
  • Phone: 707-259-8365
  • Fax: 707-253-6117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLCS13933
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS13933
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: