Lynn Lebeda Churchwell
Individual provider Active NPI Clinical Social Worker · Dayton, NJ
NPI 1164595468 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164595468
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC00144000 (NJ)
- Practice address
- 189 Georges Rd
Dayton, NJ 08810-1511 - Phone
- (732) 329-4550
- Fax
- (732) 329-1609
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
189 Georges Rd
Dayton, NJ 08810-1511
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2026 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynn Lebeda Churchwell | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00144000 | NJ | Yes |
Addresses
Primary practice location
189 Georges Rd
Dayton, NJ 08810-1511
Mailing address
189 Georges Rd
Dayton, NJ 08810-1511
Phone (732) 329-4550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P1634323 | Other | IN | OXFORD INS. |
| 2648390 | Other | NJ | AETNA INS. CO. |
| 051705 | Other | NJ | VALUE OPTIONS INS. |
Other providers in Dayton, NJ
- Robert J Casper
- Cerebellum Psychiatry LLC
- Jireh Chao Jr.
- Roshni Chelli
- Yangmin Chen
- Krystina F Cierkowski
- Dayton Dental Associates, LLC
- Dayton Park Drug Inc
- Steven B Dickert
- Liza Dimedio
All providers in Dayton, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.