Provider Demographics
NPI:1902182439
Name:MOSER, LYNNE (LCSW, BCD)
Entity Type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:
Last Name:MOSER
Suffix:
Gender:F
Credentials:LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2214 STACKHOUSE DRIVE
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067
Mailing Address - Country:US
Mailing Address - Phone:917-605-1006
Mailing Address - Fax:215-396-7304
Practice Address - Street 1:4 TERRY DRIVE THE ATRIUM,
Practice Address - Street 2:SUITE 11
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940
Practice Address - Country:US
Practice Address - Phone:917-605-1006
Practice Address - Fax:215-396-7304
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW016627101YM0800X, 1041C0700X
NYR057183101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health