Provider Demographics
NPI:1710246202
Name:GRIFFIN, LYNNE HEATHER (LCSW)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:HEATHER
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:LYNNE
Other - Middle Name:HEATHER
Other - Last Name:CHURNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:41 BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-4304
Mailing Address - Country:US
Mailing Address - Phone:609-261-4028
Mailing Address - Fax:609-261-4029
Practice Address - Street 1:41 BRIDGE RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-4304
Practice Address - Country:US
Practice Address - Phone:609-261-4028
Practice Address - Fax:609-261-4029
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ445C014220001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical