Lynn Marie Amdahl, MSW

Individual provider Active NPI Clinical Social Worker · Watertown, SD

NPI 1720073570 · NPPES record last updated Oct 2, 2019

Key facts

NPI
1720073570
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
1242 (SD)
Practice address
123 19TH St NE
Watertown, SD 57201-2823
Phone
(605) 886-0123
Fax
(605) 886-5447
NPI assigned
Sep 19, 2005
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1242 SD Yes

Addresses

Primary practice location

123 19TH St NE
Watertown, SD 57201-2823

Mailing address

PO Box 1030
Watertown, SD 57201-6030
Phone (605) 886-0123

Other providers in Watertown, SD

All providers in Watertown, SD · Clinical Social Worker in South Dakota

Sources for this page

Verify at the official NPI Registry.