Kristian Lynch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05582500 Issued in NJ

Practice address

155 Kilburn PL
South Orange, NJ 07079-2110

Phone

(917) 579-6396

NPI assigned

Nov 17, 2014

Last updated

Sep 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Kristian Lynch, LCSW, LLC

  • Clinical Social Worker
  • South Orange, NJ
  • NPI 1205650496
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1144626292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 N WYOMING AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791600",
            "telephone_number": "917-579-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 KILBURN PL",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792110",
            "telephone_number": "917-579-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "KRISTIAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-17",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05582500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyane Emilienne Lombardy, MD
• Victoria Longobardi
• Lsa Ventures, LLC (Homewatch Caregivers of South Orange)
• Alan B. Lubin, M.D.
• Diane Lynch, FNP
• Stephanie Jean Lyon-Stirling, PHD
• Jane W Maina, RN
• Pooja Malhotra
• Melissa Danielle Maniches, MA CCC-SLP
• Carol E Mann, D.M.D.

• Clinical Social Worker in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.