NPIMap

Organization Active NPI

Lisa M Lynch, Licsw LLC

  • Exclusive Provider Organization
  • Stoneham, MA
National Provider Identifier
1295268092
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
114584 Issued in MA
Legal business name
LISA M LYNCH, LICSW LLC
Practice address
80 Maple St
Suite 101
Stoneham, MA 02180-3143
Phone
(978) 364-0214
NPI assigned
Apr 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Lisa M Lynch, LICSWNPI 1447401088
Title
President
Phone
(978) 364-0214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 114584 MA Primary

Addresses

Primary practice location

80 Maple St
Suite 101
Stoneham, MA 02180-3143

Mailing address

44 Hill St
Tewksbury, MA 01876-3025
Phone (978) 364-0214

National Provider Directory

National Provider Directory

Locations

80 Maple St
Ste 101
Stoneham, MA 02180
Phone (978) 364-0214

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1295268092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HILL ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018763025",
            "telephone_number": "978-364-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MAPLE ST",
            "address_2": "SUITE 101",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803143",
            "telephone_number": "978-364-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M LYNCH, LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-364-0214",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MA",
            "license": "114584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.