Provider Demographics
NPI:1235538745
Name:FARBMAN, LYNNE (LCSW)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:
Last Name:FARBMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 COCHISE CIR
Mailing Address - Street 2:
Mailing Address - City:MEDFORD LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-9769
Mailing Address - Country:US
Mailing Address - Phone:609-634-5352
Mailing Address - Fax:
Practice Address - Street 1:42 COCHISE CIR
Practice Address - Street 2:
Practice Address - City:MEDFORD LAKES
Practice Address - State:NJ
Practice Address - Zip Code:08055-9769
Practice Address - Country:US
Practice Address - Phone:609-634-5352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-20
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052773001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical