MEDICARE: LYNETTE E. ANDERSON LCADC, CSW, CBIS

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	259474	KY
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	301371	KY

General Provider Information

NPI Number	:	1194516930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNETTE E. ANDERSON LCADC, CSW, CBIS

Provider Business Mailing Address
First Line	:	780 DOE HAVEN RD
Second Line	:
City	:	EKRON
State	:	KY
Zip	:	40117-8836
Country	:	US
Telephone Number	:	715-820-0856
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 E MAPLE ST
Second Line	:
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-3420
Country	:	US
Telephone Number	:	715-820-0856
Fax Number	:

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

Provider Enumeration Date	:	05/13/2025
Last Update Date	:	03/12/2026

Similar Medicare Providers

1144387689 — MRS. KRISTINA MICHELLE BARRETT LCSW
Practice Location Address:

230 E MAPLE ST
JEFFERSONVILLE, IN
47130-3420

Practice Phone: 502-817-4473
Practice Fax:

1558577197 — MRS. PATRICIA M. JOHNSON LMFT
Practice Location Address:

230 E MAPLE ST , STE. 4
JEFFERSONVILLE, IN
47130-3420

Practice Phone: 812-282-5352
Practice Fax:

1982902169 — JESSICA VANDER ESPT LCAC
Practice Location Address:

202 E MAPLE ST
JEFFERSONVILLE, IN
47130-3420

Practice Phone: 812-410-4326
Practice Fax:

1154979615 — PAX RIVERBEND LLC
Practice Location Address:

202 E MAPLE ST
JEFFERSONVILLE, IN
47130-3420

Practice Phone: 815-250-5006
Practice Fax:

1548984248 — LISA RUTH MAY FNP-BC
Practice Location Address:

202 E MAPLE ST
JEFFERSONVILLE, IN
47130-3420

Practice Phone: 317-220-6383
Practice Fax: 317-458-1794

1720703382 — ADDICTION WELLNESS CENTER IN LLC
Practice Location Address:

202 E MAPLE ST
JEFFERSONVILLE, IN
47130-3420

Practice Phone: 667-367-8357
Practice Fax:

Directions to “ LYNETTE E. ANDERSON LCADC, CSW, CBIS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.