# ANGIE LYNN, LSCSW, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487915245
- **Authorized official:** ANGIE LYNN LSCSW (OWNER/CLINICIAN)
- **Authorized official phone:** (316) 461-1686

## Contact information

- **Practice address:** 123 N TYLER RD, WICHITA, KS 67212-3713
- **Practice address phone:** (316) 461-1686
- **Mailing address:** 123 N TYLER RD, WICHITA, KS 67212-3713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 3578 | KS | Yes |

## Other

- **Enumeration date:** 06/07/2012
- **Last updated:** 06/07/2012