Healthcare Provider Details

I. General information

NPI: 1972412591
Provider Name (Legal Business Name): EMILY LYNCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 LETTON DR
DANVILLE KY
40422-9389
US

IV. Provider business mailing address

1103 GLENEAGLE CT
DANVILLE KY
40422-2708
US

V. Phone/Fax

Practice location:
  • Phone: 859-222-7893
  • Fax:
Mailing address:
  • Phone: 606-616-0048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW00001784
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: