Provider Demographics
NPI:1881665875
Name:POWERS, LYNN M (LSCSW)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:M
Last Name:POWERS
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1343 NE OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66616-1520
Mailing Address - Country:US
Mailing Address - Phone:785-838-4884
Mailing Address - Fax:
Practice Address - Street 1:200 MAINE ST
Practice Address - Street 2:STE A
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1368
Practice Address - Country:US
Practice Address - Phone:785-843-9192
Practice Address - Fax:985-843-6744
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS23531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS2353OtherLICENSE
KS100097940AMedicaid