Stacey A Lynch, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120809 Issued in MA

Practice address

20 Meadowbrook Rd
Brockton, MA 02301-7122

Phone

(508) 638-6000

Fax

(508) 638-6050

NPI assigned

Jan 21, 2010

Last updated

Apr 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• High Point Treatment Center Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New Bedford, MA
  • NPI 1932691524
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1841521408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 BROADWAY",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391715",
            "telephone_number": "617-661-3991",
            "fax_number": "617-661-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEADOWBROOK RD",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023017122",
            "telephone_number": "508-638-6000",
            "fax_number": "508-638-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "STACEY",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duy Quoc Ly, M.D.
• Danielle Joyce Lydon, MSOT
• Ryan Matthew Lydon, MD
• Mary P Lynch, PTA
• Regina Lynch
• Thomas J Lynch Jr., PA
• Debora Lynn, PHD
• Lindsey Lyon
• Karen Anne Lyons
• Linda Marie Lyons, MSW

• Clinical Social Worker in Brockton, MA
• Providers in Brockton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.