Lynn Eichelberger Fiedler

Organization Active NPI Clinical Social Worker · New Athens, IL

NPI 1770016669 · NPPES record last updated Apr 6, 2017

Key facts

NPI
1770016669
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
License
149018930 (IL)
Legal business name
LYNN EICHELBERGER FIEDLER
Practice address
3806 Gun Club Rd
New Athens, IL 62264-2218
Phone
(618) 791-0718
NPI assigned
Apr 6, 2017
Organization subpart
No

Authorized official

Name
Lynn Christine Eichelberger Fiedler, LCSW
Title
LCSW
Phone
(618) 791-0718

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X 149018930 IL Yes

Addresses

Primary practice location

3806 Gun Club Rd
New Athens, IL 62264-2218

Mailing address

3806 Gun Club Rd
New Athens, IL 62264-2218
Phone (618) 791-0718

Other providers in New Athens, IL

All providers in New Athens, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.