Healthcare Provider Details

I. General information

NPI: 1992312466
Provider Name (Legal Business Name): MARGARET MCCOY LYNCH MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2020
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 4TH ST E STE 555
SAINT PAUL MN
55101-2538
US

IV. Provider business mailing address

12925 HAMLET AVE
APPLE VALLEY MN
55124-4618
US

V. Phone/Fax

Practice location:
  • Phone: 612-405-8011
  • Fax: 715-802-6332
Mailing address:
  • Phone: 612-405-8011
  • Fax: 715-802-6332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16257
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: