Lynn Edgerly, LCSW R
Individual provider Active NPI Clinical Social Worker · Glens Falls, NY
NPI 1386776979 · NPPES record last updated Feb 13, 2025
Key facts
- NPI
- 1386776979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- PR0633221 (NY)
- Practice address
- 333 Glen St Ste 100a
Glens Falls, NY 12801-3578 - Phone
- (518) 321-9280
- Fax
- (518) 615-5803
- NPI assigned
- Mar 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- State University of New York at Stony Brook, School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
333 Glen St
Suite 100a
Glens Falls, NY 12801-3578
Phone (518) 321-9280
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080114000314 | NY | Practitioner - Clinical Social Worker | 2860573037 | Practice locations: Glens Falls, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR0633221 | NY | MD | Clinical Social Worker |
| 063322 | NY | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecs Wellness Psychology | Past |
Accepting new patients | |
| Ecs Psychological Services PC | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR0633221 | NY | Yes |
Addresses
Primary practice location
333 Glen St Ste 100a
Glens Falls, NY 12801-3578
Mailing address
333 Glen St Ste 100a
Glens Falls, NY 12801-3578
Phone (518) 321-9280
Other providers in Glens Falls, NY
- Michaela Jean Ebert
- Behrooz Ebrahimi-Fard
- Eckerd Corporation
- Eden Park Health Services, Inc.
- Jocelyn Paige Edens
- Joanne Egnaczyk
- Andrea Eichler
- Thomas Eigo
- Jada Marie Eisenhardt
- Kayla Rose Elder
All providers in Glens Falls, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.