Provider Demographics
NPI:1356617294
Name:LYNCH, STEPHANIE FLORENCE (LCSW)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:FLORENCE
Last Name:LYNCH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 US HWY #1
Mailing Address - Street 2:SUITE# 213
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-4905
Mailing Address - Country:US
Mailing Address - Phone:305-773-2443
Mailing Address - Fax:
Practice Address - Street 1:513 US HWY #1
Practice Address - Street 2:SUITE# 213
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-4905
Practice Address - Country:US
Practice Address - Phone:305-773-2443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-26
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW92051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical