Active NPI
Cynthia Lynch, LICSW
- Clinical Social Worker
- Peterborough, NH
National Provider Identifier
1649675463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1790
- Practice address
- 458 Old Street Rd
Social Work Department
Peterborough, NH 03458-1265 - Phone
- (603) 924-4690
- NPI assigned
- Oct 23, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 1790 | NH | Primary |
Addresses
Primary practice location
458 Old Street Rd
Social Work Department
Peterborough, NH 03458-1265
Mailing address
452 Old Street Rd
Social Work Department
Peterborough, NH 03458-1263
Phone (603) 924-7191
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T400184379 | Other | MEDICARE PTAN | |
| 3099272 | Medicaid | NH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1790 | NH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1649675463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 OLD STREET RD",
"address_2": "SOCIAL WORK DEPARTMENT",
"city": "PETERBOROUGH",
"state": "NH",
"postal_code": "034581263",
"telephone_number": "603-924-7191",
"fax_number": "603-924-4667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "458 OLD STREET RD",
"address_2": "SOCIAL WORK DEPARTMENT",
"city": "PETERBOROUGH",
"state": "NH",
"postal_code": "034581265",
"telephone_number": "603-924-4690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "CYNTHIA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-23",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "1790",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "T400184379",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3099272",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peterborough, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.