Provider Demographics
NPI:1801027909
Name:HEMPHILL, LYNN TERRY (LISW-CP)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:TERRY
Last Name:HEMPHILL
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:TERRY
Other - Last Name:HOLLINGSWORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW-CP
Mailing Address - Street 1:112 BYPASS 225
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-1154
Mailing Address - Country:US
Mailing Address - Phone:864-942-0104
Mailing Address - Fax:864-942-0106
Practice Address - Street 1:112 BYPASS 225
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-1154
Practice Address - Country:US
Practice Address - Phone:864-942-0104
Practice Address - Fax:864-942-0106
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2019-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC85021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSW1006Medicaid