Provider Demographics
NPI:1659026748
Name:LUNCEFORD, APRIL CHRISTINA (LMSW, CSOTS)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:CHRISTINA
Last Name:LUNCEFORD
Suffix:
Gender:F
Credentials:LMSW, CSOTS
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:
Other - Last Name:LUNCEFORD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW, CSOTS
Mailing Address - Street 1:641 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ID
Mailing Address - Zip Code:83501-3893
Mailing Address - Country:US
Mailing Address - Phone:208-305-7012
Mailing Address - Fax:
Practice Address - Street 1:641 19TH AVE
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ID
Practice Address - Zip Code:83501-3893
Practice Address - Country:US
Practice Address - Phone:208-305-7012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW41679104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker