NPIMap

Organization Active NPI

Tod Lynch-Stanley Counseling Services

  • Clinical Social Worker
  • Brunswick, GA
National Provider Identifier
1356564082
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1279 Issued in GA
Legal business name
TOD LYNCH-STANLEY COUNSELING SERVICES
Practice address
1520 Richmond St
Brunswick, GA 31520-6809
Phone
(912) 261-1248
Fax
(912) 261-1204
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Mr. Todd Lynch-Stanley, L.C.S.W.
Title
Director
Phone
(912) 261-1248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 1279 GA Primary

Addresses

Primary practice location

1520 Richmond St
Brunswick, GA 31520-6809

Mailing address

1520 Richmond St
Brunswick, GA 31520-6809
Phone (912) 261-1248

National Provider Directory

National Provider Directory

Locations

1520 Richmond St
Brunswick, GA 31520
Phone (912) 261-1248

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1356564082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 RICHMOND ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315206809",
            "telephone_number": "912-261-1248",
            "fax_number": "912-261-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 RICHMOND ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315206809",
            "telephone_number": "912-261-1248",
            "fax_number": "912-261-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOD LYNCH-STANLEY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "LYNCH-STANLEY",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "912-261-1248",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "1279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.