Healthcare Provider Details

I. General information

NPI: 1780625855
Provider Name (Legal Business Name): LINDSEY FLETCHER-LYNCH LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 12/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 BANK ROW ST
GREENFIELD MA
01301-3599
US

IV. Provider business mailing address

260 MARCH RD
SHELBURNE FALLS MA
01370-9567
US

V. Phone/Fax

Practice location:
  • Phone: 413-297-7670
  • Fax:
Mailing address:
  • Phone: 413-625-8601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number111375
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: