Healthcare Provider Details

I. General information

NPI: 1871946384
Provider Name (Legal Business Name): LYNN CARPER LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2016
Last Update Date: 10/13/2023
Certification Date: 10/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 STATE AVE
CARLISLE PA
17013-4432
US

IV. Provider business mailing address

27 EASTWICK LN
CARLISLE PA
17015-6904
US

V. Phone/Fax

Practice location:
  • Phone: 717-243-6033
  • Fax:
Mailing address:
  • Phone: 717-243-6033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW132990
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: