Lynn Lebeda Churchwell

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00144000 Issued in NJ

Practice address

189 Georges Rd
Dayton, NJ 08810-1511

Phone

(732) 329-4550

Fax

(732) 329-1609

NPI assigned

Nov 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2026 through Jan 1, 2028

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)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lynn Lebeda Churchwell

  • Clinical Social Worker
  • Dayton, NJ
  • NPI 1679760201
  NPD (past) Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164595468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 GEORGES RD",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088101511",
            "telephone_number": "732-329-4550",
            "fax_number": "732-329-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 GEORGES RD",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088101511",
            "telephone_number": "732-329-4550",
            "fax_number": "732-329-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCHWELL",
        "first_name": "LYNN",
        "middle_name": "LEBEDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00144000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Casper, MD
• Cerebellum Psychiatry LLC
• Jireh Chao Jr.
• Roshni Chelli, MD
• Yangmin Chen, PHARMD
• Krystina F Cierkowski, PT, DPT
• Dayton Dental Associates, LLC
• Dayton Park Drug Inc
• Steven B Dickert, D.C.
• Liza Dimedio, DMD

• Clinical Social Worker in Dayton, NJ
• Providers in Dayton, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.