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NPI Code Detail

MEDICARE: RHONDA KAYE LYNCH LCSW

MEDICARE: RHONDA KAYE LYNCH 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
11041C0700XClinical Social Worker
2101YM0800XMental Health CounselorSW11112FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11245532209OTHERKYNPI 2-GROUP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376698811
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHONDA KAYE LYNCH LCSW
Provider Business Mailing Address
First Line : 911 S MAIN ST
Second Line :
City : TRENTON
State : FL
Zip : 32693-3239
Country : US
Telephone Number : 352-463-4504
Fax Number :
Provider Business Practice Location Address
First Line : 1830 N MAIN ST
Second Line :
City : BELL
State : FL
Zip : 32619-4713
Country : US
Telephone Number : 352-463-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 02/28/2023

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