MEDICARE: MRS. CHRISTINE FRANCES LYNG 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	27765	CA

General Provider Information

NPI Number	:	1891942397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINE FRANCES LYNG LCSW

Provider Business Mailing Address
First Line	:	2021 BOYNTON AVE
Second Line	:
City	:	MARTINEZ
State	:	CA
Zip	:	94553-2747
Country	:	US
Telephone Number	:	925-957-9528
Fax Number	:

Provider Business Practice Location Address
First Line	:	2021 BOYNTON AVE
Second Line	:
City	:	MARTINEZ
State	:	CA
Zip	:	94553-2747
Country	:	US
Telephone Number	:	925-295-5621
Fax Number	:

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

Provider Enumeration Date	:	08/26/2008
Last Update Date	:	02/11/2022

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