Individual
LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2600 HIGHWAY AVE, HIGHLAND, IN 46322-1613
(219) 972-0131
(219) 972-9104
Mailing address
8400 LOUISIANA ST, MERRILLVILLE, IN 46410-6385
(219) 757-1928
(219) 757-1950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002239A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000216774
ANTHEM BCBS
IN
Enumeration date
08/16/2005
Last updated
10/30/2007
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