Provider Demographics
NPI:1851345730
Name:GOLDSMITH, LYNNE S (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:S
Last Name:GOLDSMITH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LYNNE
Other - Middle Name:S
Other - Last Name:GOLDSMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4810 WHITESPORT CIR SW
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6444
Mailing Address - Country:US
Mailing Address - Phone:256-880-1630
Mailing Address - Fax:256-880-1631
Practice Address - Street 1:4810 WHITESPORT CIR SW
Practice Address - Street 2:SUITE 203
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6444
Practice Address - Country:US
Practice Address - Phone:256-880-1630
Practice Address - Fax:256-880-1631
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL128C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical