Provider Demographics
NPI:1538318407
Name:VAUGHAN, LYNN SHARPE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:SHARPE
Last Name:VAUGHAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LYNN
Other - Middle Name:SHARPE
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:104 SMITH SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-3400
Mailing Address - Country:US
Mailing Address - Phone:615-399-2360
Mailing Address - Fax:
Practice Address - Street 1:104 SMITH SPRINGS CT
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3400
Practice Address - Country:US
Practice Address - Phone:615-399-2360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical