Healthcare Provider Details

I. General information

NPI: 1053264911
Provider Name (Legal Business Name): KRISTIN LYNCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 HAWTHORNE PL APT 23
NORTH PROVIDENCE RI
02904-7601
US

IV. Provider business mailing address

60 HAWTHORNE PL APT 23
NORTH PROVIDENCE RI
02904-7601
US

V. Phone/Fax

Practice location:
  • Phone: 781-727-8348
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: