Provider Demographics
NPI:1346651973
Name:CARLSEN, LYNN (LCSW-C)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:CARLSEN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10400 CONNECTICUT AVE
Mailing Address - Street 2:500
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-3910
Mailing Address - Country:US
Mailing Address - Phone:202-360-4787
Mailing Address - Fax:202-360-4787
Practice Address - Street 1:10400 CONNECTICUT AVE
Practice Address - Street 2:500
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-3910
Practice Address - Country:US
Practice Address - Phone:202-360-4787
Practice Address - Fax:202-360-4787
Is Sole Proprietor?:No
Enumeration Date:2014-05-16
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD179371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical