Provider Demographics
NPI:1831844638
Name:YOUNG, LYNNE (LSW)
Entity type:Individual
Prefix:
First Name:LYNNE
Middle Name:
Last Name:YOUNG
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 1:915 SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7581
Mailing Address - Country:US
Mailing Address - Phone:412-721-8993
Mailing Address - Fax:
Practice Address - Street 1:166 S MAIN ST # 203
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-2532
Practice Address - Country:US
Practice Address - Phone:717-746-8750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW011072L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker