Provider Demographics
NPI:1962861328
Name:LYNCH, KASIE ANNE (LSW)
Entity Type:Individual
Prefix:MS
First Name:KASIE
Middle Name:ANNE
Last Name:LYNCH
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 SECURDA RD
Mailing Address - Street 2:
Mailing Address - City:SHILLINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19607-2520
Mailing Address - Country:US
Mailing Address - Phone:443-975-8490
Mailing Address - Fax:
Practice Address - Street 1:36 E KING ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-5306
Practice Address - Country:US
Practice Address - Phone:717-393-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-14
Last Update Date:2016-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW130570104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker