Active NPI
Judith S. Lynch, LICSW
- Clinical Social Worker
- Newburyport, MA
National Provider Identifier
1316027287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 111855
- Practice address
- 30 Green St
Newburyport, MA 01950-2650 - Phone
- (978) 270-3517
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 111855 | MA | Primary |
Addresses
Primary practice location
30 Green St
Newburyport, MA 01950-2650
Mailing address
PO Box 36
Newburyport, MA 01950-0036
Phone (978) 270-3517
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1854895 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316027287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019500036",
"telephone_number": "978-270-3517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 GREEN ST",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019502650",
"telephone_number": "978-270-3517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "JUDITH",
"middle_name": "S.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "111855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1854895",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newburyport, MA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.