Provider Demographics
NPI:1437300837
Name:MURPHY, LYNN (LCSW, CADC)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LCSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BOG ROAD
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04259-0120
Mailing Address - Country:US
Mailing Address - Phone:207-395-6278
Mailing Address - Fax:
Practice Address - Street 1:4 BOG ROAD
Practice Address - Street 2:
Practice Address - City:MONMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04259
Practice Address - Country:US
Practice Address - Phone:207-215-4069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-02
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC115741041C0700X
MELC132341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432957799Medicaid