MEDICARE: BOBBIELYN LYN JONES LCSW

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	1041C0700X	Clinical Social Worker	CSW04211	RI

General Provider Information

NPI Number	:	1285550368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BOBBIELYN LYN JONES LCSW

Provider Business Mailing Address
First Line	:	53 SOUTH ST APT 1
Second Line	:
City	:	LINCOLN
State	:	RI
Zip	:	02865-3230
Country	:	US
Telephone Number	:	401-585-2323
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 COLLEGE HILL RD BLDG 3
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-2776
Country	:	US
Telephone Number	:	401-477-9446
Fax Number	:

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

Provider Enumeration Date	:	06/24/2026
Last Update Date	:	06/24/2026

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