Provider Demographics
NPI:1457441248
Name:CAUTHEN, LYNNE D (LCSW,PIP,ACSW)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:D
Last Name:CAUTHEN
Suffix:
Gender:F
Credentials:LCSW,PIP,ACSW
Other - Prefix:
Other - First Name:LYNNE
Other - Middle Name:E
Other - Last Name:DOVERSPIKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW,PIP,ACSW
Mailing Address - Street 1:113 2ND AVE SE STE 4
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-2315
Mailing Address - Country:US
Mailing Address - Phone:256-822-2375
Mailing Address - Fax:
Practice Address - Street 1:113 2ND AVE SE
Practice Address - Street 2:SUITE 4
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-2315
Practice Address - Country:US
Practice Address - Phone:256-822-2375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0102C104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker