Individual provider Active NPI

Larraine Jo-Anne Lynch, M.S.W., L.I.C.S.W.

  • Clinical Social Worker
  • Renton, WA
National Provider Identifier
1043544265
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00009759 Issued in WA
Practice address
200 Mill Ave S Ste 10
Renton, WA 98057-2175
Phone
(425) 282-0339
Fax
(425) 282-0939
NPI assigned
Sep 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW00009759 WA Primary

Addresses

Primary practice location

200 Mill Ave S Ste 10
Renton, WA 98057-2175

Mailing address

200 Mill Ave S Ste 10
Renton, WA 98057-2175
Phone (425) 282-0339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW00009759WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
King County Sexual Assault Resource Center Past Accepting new patients
King County Sexual Assault Resource Center Clinical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1043544265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL AVE S STE 10",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572175",
            "telephone_number": "425-282-0339",
            "fax_number": "425-282-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MILL AVE S STE 10",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572175",
            "telephone_number": "425-282-0339",
            "fax_number": "425-282-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "LARRAINE",
        "middle_name": "JO-ANNE",
        "name_prefix": "Ms.",
        "credential": "M.S.W., L.I.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00009759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.