Lynn Nguyen, LCSW
Individual provider Active NPI Clinical Social Worker · Vacaville, CA
NPI 1639438005 · NPPES record last updated Aug 4, 2022
Key facts
- NPI
- 1639438005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW60857 (CA)
- Practice address
- 2100 Peabody Rd
Vacaville, CA 95687-6639 - Phone
- (707) 451-0182
- NPI assigned
- May 4, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW60857 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corrections and Rehabilitation-Headquarters | Current |
Accepting new patients | |
| State of California Prison Industry Authority | Past |
Accepting new patients |
Locations
2100 Peabody Rd
Vacaville, CA 95687
Phone (707) 451-0182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW60857 | CA | Yes |
Addresses
Primary practice location
2100 Peabody Rd
Vacaville, CA 95687-6639
Mailing address
2100 Peabody Rd
Vacaville, CA 95687-6639
Phone (707) 451-0182
Other providers in Vacaville, CA
- Huong Cam Nguyen
- Jenny Nguyen
- Julie Nguyen
- Khanhlinh Nguyen
- Lanchinh H. Nguyen
- Michael J Nguyen
- Michele Nguyen
- Mike Nguyen
- Natalie Ngoc Thi Nguyen
- Nina Nguyen
All providers in Vacaville, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.