Provider Demographics
NPI:1912413329
Name:BIERINGER, LYNSEY (LCSW)
Entity Type:Individual
Prefix:
First Name:LYNSEY
Middle Name:
Last Name:BIERINGER
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 1:301 N FULTON AVE
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-3857
Mailing Address - Country:US
Mailing Address - Phone:631-835-3909
Mailing Address - Fax:
Practice Address - Street 1:11 FARBER DR
Practice Address - Street 2:
Practice Address - City:BELLPORT
Practice Address - State:NY
Practice Address - Zip Code:11713-1500
Practice Address - Country:US
Practice Address - Phone:631-286-0700
Practice Address - Fax:631-286-0688
Is Sole Proprietor?:No
Enumeration Date:2017-12-20
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY088627104100000X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker