Provider Demographics
NPI:1144302076
Name:WARNER, LYNDA S (LCSW)
Entity type:Individual
Prefix:MS
First Name:LYNDA
Middle Name:S
Last Name:WARNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:312 B ST SE
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-3712
Mailing Address - Country:US
Mailing Address - Phone:276-628-1664
Mailing Address - Fax:276-628-9875
Practice Address - Street 1:188 E MAIN ST STE 1A
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-2857
Practice Address - Country:US
Practice Address - Phone:276-628-1664
Practice Address - Fax:276-628-9875
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040004141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA54-173774509OtherJOHN DEERE/UNITED BEHAVIO
VACPOtherCORPORATE FAMILY NETWORKE
VA061984OtherANTHEM
VA254565000OtherMAGELLAN
VA8931119/DNSMedicaid
VACPOtherCHOICE CARE/HUMANA
VA034778OtherVALUE OPTIONS
VA344077OtherMAMSI/OPTIMUM CHOICE
VA4036400OtherBCBS OF TENNESSEE
VA423995OtherCCN COMMUNITY CARE NETWOR
VAAROtherCIGNAPPO/CIGNA BH
VA54-173774509OtherHERITAGE NATIONAL HEALTH
VA254565000OtherMAGELLAN