Provider Demographics
NPI:1689851099
Name:MAY, LYNN R (LMSW)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:R
Last Name:MAY
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 1:914 N. CANAL ST.
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-0000
Mailing Address - Country:US
Mailing Address - Phone:575-885-4836
Mailing Address - Fax:575-887-9579
Practice Address - Street 1:914 N. CANAL ST.
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-0000
Practice Address - Country:US
Practice Address - Phone:575-885-4836
Practice Address - Fax:505-628-0676
Is Sole Proprietor?:No
Enumeration Date:2008-01-28
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMX-06030104100000X
NMM-07152104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker