Provider Demographics
NPI:1629498845
Name:LAFALCE, LYNETTE MARIE (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:LYNETTE
Middle Name:MARIE
Last Name:LAFALCE
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CENTENNIAL CT
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3723
Mailing Address - Country:US
Mailing Address - Phone:716-491-5611
Mailing Address - Fax:
Practice Address - Street 1:8 CENTENNIAL CT
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3723
Practice Address - Country:US
Practice Address - Phone:716-491-5611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-27
Last Update Date:2014-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR072774-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health