| Mr Kristian Lynch, LCSW | |
|
155 Kilburn Pl, South Orange, NJ 07079-2110 | |
| (917) 579-6396 | |
| Not Available |
| Full Name | Mr Kristian Lynch |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 155 Kilburn Pl, South Orange, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144626292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05582500 (New Jersey) | Primary |
| Entity Name | Kristian Lynch Lcsw Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205650496 PECOS PAC ID: 8628503679 Enrollment ID: O20241127001468 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kristian Lynch, LCSW 244 N Wyoming Ave, South Orange, NJ 07079-1600 Ph: (917) 579-6396 | Mr Kristian Lynch, LCSW 155 Kilburn Pl, South Orange, NJ 07079-2110 Ph: (917) 579-6396 |
Toni B Schecter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Irvington Ave Apt 101, South Orange, NJ 07079 Phone: 646-644-1228 | |
Lucy Vance Seligson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 227 Raymond Ave, South Orange, NJ 07079 Phone: 201-820-5924 | |
Jessamyn Blakeslee Tabakin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 124 Seton Pl, South Orange, NJ 07079 Phone: 091-761-2899 | |
Blaire Erica Fuchs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 76 S Orange Ave Ste 209, South Orange, NJ 07079 Phone: 201-740-7137 Fax: 973-378-9575 | |
James Mindnich Jr., Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 282 Scotland Rd, South Orange, NJ 07079 Phone: 201-704-8998 | |
Mrs. Drewsilla M Thorne, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 315 Valley St, South Orange, NJ 07079 Phone: 973-763-7979 |