Provider Demographics
NPI:1376317453
Name:ARMSTRONG, LYNDA KAYE (LMSW)
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:KAYE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 674
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:OR
Mailing Address - Zip Code:97146-0674
Mailing Address - Country:US
Mailing Address - Phone:208-317-8982
Mailing Address - Fax:
Practice Address - Street 1:92270 CLOVER RD
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:OR
Practice Address - Zip Code:97103-6604
Practice Address - Country:US
Practice Address - Phone:208-317-8982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW-38909104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker