Provider Demographics
NPI:1508439571
Name:LYNN K. ADLER LCSW, PLLC
Entity Type:Organization
Organization Name:LYNN K. ADLER LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:K
Authorized Official - Last Name:ADLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:631-617-4356
Mailing Address - Street 1:1 PORTERFIELD CT
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-1661
Mailing Address - Country:US
Mailing Address - Phone:631-617-4356
Mailing Address - Fax:
Practice Address - Street 1:1 PORTERFIELD CT
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-1661
Practice Address - Country:US
Practice Address - Phone:631-617-4356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty