Provider Demographics
NPI:1508655861
Name:PYNE, MEREDITH (LMSW)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:PYNE
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 JOSHUA LN
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-3928
Mailing Address - Country:US
Mailing Address - Phone:203-461-4726
Mailing Address - Fax:
Practice Address - Street 1:11 JOSHUA LN
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-3928
Practice Address - Country:US
Practice Address - Phone:203-461-4726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-03
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT69841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical