Provider Demographics
NPI:1669439394
Name:LYNN, HANNAH FU (ACSW LISW)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:FU
Last Name:LYNN
Suffix:
Gender:F
Credentials:ACSW LISW
Other - Prefix:MISS
Other - First Name:HANNAH YUET NGO
Other - Middle Name:
Other - Last Name:FU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2327 70TH STREET
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50322-4825
Mailing Address - Country:US
Mailing Address - Phone:515-270-1344
Mailing Address - Fax:515-270-6515
Practice Address - Street 1:2327 70TH STREET
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50322-4825
Practice Address - Country:US
Practice Address - Phone:515-270-1344
Practice Address - Fax:515-270-6515
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1035006Medicaid
IA38713OtherWELLMARK
CA192633OtherMHN PIN #
NY192633OtherMHN PIN #
I15182Medicare ID - Type Unspecified
P06945Medicare UPIN