Provider Demographics
NPI:1598894149
Name:NORMAN, LYNN (LCSW)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:NORMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 W 80TH ST
Mailing Address - Street 2:#6D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5787
Mailing Address - Country:US
Mailing Address - Phone:212-724-4165
Mailing Address - Fax:212-712-0883
Practice Address - Street 1:303 W 80TH ST
Practice Address - Street 2:#6D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5787
Practice Address - Country:US
Practice Address - Phone:212-724-4165
Practice Address - Fax:212-712-0883
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPRO30417-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical