Provider Demographics
NPI:1093296246
Name:LYNCH, JOANNE MARIE (LICSW, LADCI)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:MARIE
Last Name:LYNCH
Suffix:
Gender:F
Credentials:LICSW, LADCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ONION RIVER RD
Mailing Address - Street 2:
Mailing Address - City:WENHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01984-1830
Mailing Address - Country:US
Mailing Address - Phone:978-821-7508
Mailing Address - Fax:
Practice Address - Street 1:8 ONION RIVER RD
Practice Address - Street 2:
Practice Address - City:WENHAM
Practice Address - State:MA
Practice Address - Zip Code:01984-1830
Practice Address - Country:US
Practice Address - Phone:978-821-7508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-26
Last Update Date:2018-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
MA110667-SW-LICSW101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor