MEDICARE: MS. LYNNE ELLEN SCHACHNE LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	103380	MA
2	1041C0700X	Clinical Social Worker	103380	MA

General Provider Information

NPI Number	:	1043227796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LYNNE ELLEN SCHACHNE LICSW

Provider Business Mailing Address
First Line	:	50 ORCHARD ST
Second Line	:
City	:	GREENFIELD
State	:	MA
Zip	:	01301-3014
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	49 GOTHIC ST
Second Line	:
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-3047
Country	:	US
Telephone Number	:	413-475-4229
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	03/17/2018

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