Healthcare Provider Details

I. General information

NPI: 1609784255
Provider Name (Legal Business Name): LYNSEY FOSTER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

632 PLANK RD STE 103
CLIFTON PARK NY
12065-4883
US

IV. Provider business mailing address

261 COUNTY HIGHWAY 107
JOHNSTOWN NY
12095-3803
US

V. Phone/Fax

Practice location:
  • Phone: 518-414-5706
  • Fax: 518-309-6213
Mailing address:
  • Phone: 518-954-5607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number125718
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: