Healthcare Provider Details

I. General information

NPI: 1346280328
Provider Name (Legal Business Name): LYNN B CARVER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 CONTINENTAL DR
RENO NV
89509-3432
US

IV. Provider business mailing address

2678 BERTINI CT
SPARKS NV
89434-2046
US

V. Phone/Fax

Practice location:
  • Phone: 775-334-3022
  • Fax:
Mailing address:
  • Phone: 775-334-3022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4486C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: