Provider Demographics
NPI:1821222050
Name:BONDE, LYNN (LCSW-C)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:BONDE
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 HOLSTEIN ST
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6829
Mailing Address - Country:US
Mailing Address - Phone:301-589-6154
Mailing Address - Fax:
Practice Address - Street 1:7900 HOLSTEIN ST
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6829
Practice Address - Country:US
Practice Address - Phone:301-589-6154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD107361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical