Provider Demographics
NPI:1679344311
Name:ANDREWS, LYNN MARIE (LMSW)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:MARIE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3507 DAYTON BLVD APT A7
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-4799
Mailing Address - Country:US
Mailing Address - Phone:571-606-6469
Mailing Address - Fax:
Practice Address - Street 1:2120 NORTHGATE PARK LN STE 201
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-6952
Practice Address - Country:US
Practice Address - Phone:423-870-5647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13388104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker