Provider Demographics
NPI:1669502738
Name:SEIPSER, LYNN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:
Last Name:SEIPSER
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 1:5 POINT RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-5013
Mailing Address - Country:US
Mailing Address - Phone:973-835-4795
Mailing Address - Fax:973-835-4795
Practice Address - Street 1:800 CATALPA AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-1828
Practice Address - Country:US
Practice Address - Phone:201-836-1065
Practice Address - Fax:201-836-3902
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ049695Medicare ID - Type Unspecified