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1386836641 NPI number — LYNN RICHMOND MSW LCSW

NPI Number: 1386836641
Health Care Provider/Practitioner: LYNN RICHMOND MSW LCSW

Information about “1386836641” NPI (LYNN RICHMOND MSW LCSW) exists in 1386836641 in HTML format HTML  |  1386836641 in plain Text format TXT  |  1386836641 in PDF (Portable Document Format) PDF  |  1386836641 in an XML format XML  formats.

NPI Number : 1386836641 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386836641",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RICHMOND",
    "FirstName": "LYNN",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MSW LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MADDY",
    "OtherFirstName": "LYNN",
    "OtherMiddleName": "RICHMOND",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MSW LCSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "439 DOLORES DRIVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLLEGEVILLE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19426",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-805-7897",
    "MailingAddressFaxNumber": "610-489-6520",
    "FirstLinePracticeLocationAddress": "439 DOLORES DRIVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLLEGEVILLE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19426",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-805-7897",
    "PracticeLocationAddressFaxNumber": "610-489-6520",
    "EnumerationDate": "08/10/2007",
    "LastUpdateDate": "08/10/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "102L00000X",
          "TaxonomyName": "Psychoanalyst",
          "LicenseNumber": "CWO11620L",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "102L00000X",
          "TaxonomyName": "Psychoanalyst",
          "LicenseNumber": "44SC00037600",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "CWO11620L",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "44SC00037600",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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