Lynn S Brine, LICSW

Individual provider Active NPI Clinical Social Worker · Sandwich, MA

NPI 1437345253 · NPPES record last updated Sep 16, 2007

Key facts

NPI
1437345253
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
110878 (MA)
Practice address
5 Abigails Way
Sandwich, MA 02563-2760
Phone
(508) 428-2617
NPI assigned
Sep 16, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
110878MAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110878 MA Yes

Addresses

Primary practice location

5 Abigails Way
Sandwich, MA 02563-2760

Mailing address

5 Abigails Way
Sandwich, MA 02563-2760
Phone (508) 428-2617

Other providers in Sandwich, MA

All providers in Sandwich, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.