Provider Demographics
NPI:1497567424
Name:LYNCH, VICTORIA ASHANTI (LSW)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ASHANTI
Last Name:LYNCH
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 MAROSE DR
Mailing Address - Street 2:
Mailing Address - City:PENN HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15235-4341
Mailing Address - Country:US
Mailing Address - Phone:412-607-2096
Mailing Address - Fax:
Practice Address - Street 1:112 WASHINGTON PL STE 1M
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-3424
Practice Address - Country:US
Practice Address - Phone:412-256-8173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW140146104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker