Provider Demographics
NPI:1528336062
Name:WORKMAN, LYNDA J (LCSW)
Entity type:Individual
Prefix:MS
First Name:LYNDA
Middle Name:J
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4580 LAWNVALE DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-1230
Mailing Address - Country:US
Mailing Address - Phone:703-754-8667
Mailing Address - Fax:
Practice Address - Street 1:4580 LAWNVALE DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-1230
Practice Address - Country:US
Practice Address - Phone:703-754-8667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904002011101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health