Active NPI
Brittany Lynch, LICSW
- Mental Health Counselor
- Fall River, MA
National Provider Identifier
1770904005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 218954
- Practice address
- 795 Middle St
Psych Dept
Fall River, MA 02721-1733 - Phone
- (508) 674-5600
- Fax
- (508) 235-5009
- NPI assigned
- Jan 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 218954 | MA | Primary |
| Clinical Social Worker | 1041C0700X | 119139 | MA |
Addresses
Primary practice location
795 Middle St
Psych Dept
Fall River, MA 02721-1733
Mailing address
PO Box 513
Tiverton, RI 02878-0513
Phone (774) 313-0264
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 |
|---|---|---|---|
| 218954 | MA | MD | Mental Health Counselor |
| 119139 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1770904005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 513",
"city": "TIVERTON",
"state": "RI",
"postal_code": "028780513",
"telephone_number": "774-313-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 MIDDLE ST",
"address_2": "PSYCH DEPT",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027211733",
"telephone_number": "508-674-5600",
"fax_number": "508-235-5009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "BRITTANY",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-06",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "218954",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "119139",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.