Provider Demographics
NPI:1619032596
Name:BECK, LYNN B (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:B
Last Name:BECK
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 1:107 BEDFORD PARK DR
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263
Mailing Address - Country:US
Mailing Address - Phone:404-431-5470
Mailing Address - Fax:770-253-8688
Practice Address - Street 1:15 LAGRANGE ST
Practice Address - Street 2:SUITE C&D
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-2607
Practice Address - Country:US
Practice Address - Phone:404-431-5470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0037291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical