Kristian Lynch, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KRISTIAN LYNCH, LCSW, LLC

Practice address

155 Kilburn PL
South Orange, NJ 07079-2110

Phone

(917) 579-6396

NPI assigned

Nov 13, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Kristian Lynch, LCSWNPI 1144626292

Title

Owner

Phone

(917) 579-6396

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristian Lynch, LCSW

  • Clinical Social Worker
  • South Orange, NJ
  • NPI 1144626292
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1205650496",
    "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": {
        "organization_name": "KRISTIAN LYNCH, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "KRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-579-6396",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shyla Imani Kissoon, PA-C
• Kka Ventures LLC
• Katherine Kong, PHARM.D.
• Sarah L Kono, M.S.
• Steven Koretzky, DMD
• Geetha Kurian, OTR/L
• Ronald Kurlan, D.M.D.
• Michael F La Fountaine, EDD, ATC, FACSM
• Megan Lambert, LSW
• Gregory Lamorte, D.D.S.

• 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 Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.