Provider Demographics
NPI:1386646982
Name:LYNN, JOANN M (MSW)
Entity Type:Individual
Prefix:MS
First Name:JOANN
Middle Name:M
Last Name:LYNN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 W ST NW
Mailing Address - Street 2:#403
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-4029
Mailing Address - Country:US
Mailing Address - Phone:202-337-2407
Mailing Address - Fax:301-295-0003
Practice Address - Street 1:NATIONAL NAVAL MEDICAL CENTER, SOCIAL WORK
Practice Address - Street 2:8901 WISCONSIN AVE
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-5921
Practice Address - Fax:301-295-0003
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040032481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical