Lynne Hurlbut, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082611 Issued in NY

Practice address

1794 Penfield Rd
Penfield, NY 14526-2124

Phone

(585) 789-1457

NPI assigned

Nov 5, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1972830487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211229",
            "telephone_number": "585-922-2633",
            "fax_number": "585-922-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1794 PENFIELD RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262124",
            "telephone_number": "585-789-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLBUT",
        "first_name": "LYNNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "077106-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Meegan Hirsch
• Matthew Hoderlein, PA-C
• Sheryl Holley, MD
• Lauren Lee Hollingsworth, LPN
• Tahmtan Hormozdyaran, M.D,
• Miriam Ruth Iker, PH.D.
• Interact, Inc.
• Mary E Jacobi, M.A. CCC/SLP
• You Jia, DDS
• Brittnee Johnson

• All providers in Penfield, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.