Provider Demographics
NPI:1386836641
Name:RICHMOND, LYNN (MSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:
Last Name:RICHMOND
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:MS
Other - First Name:LYNN
Other - Middle Name:RICHMOND
Other - Last Name:MADDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW LCSW
Mailing Address - Street 1:439 DOLORES DRIVE
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426
Mailing Address - Country:US
Mailing Address - Phone:610-805-7897
Mailing Address - Fax:610-489-6520
Practice Address - Street 1:439 DOLORES DRIVE
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426
Practice Address - Country:US
Practice Address - Phone:610-805-7897
Practice Address - Fax:610-489-6520
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACWO11620L102L00000X, 1041C0700X
NJ44SC00037600102L00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst