Provider Demographics
NPI:1598558249
Name:LYNCH, AUBRIEANNA BETHEA (LCSW)
Entity type:Individual
Prefix:
First Name:AUBRIEANNA
Middle Name:BETHEA
Last Name:LYNCH
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 1:1010 N 500 E
Mailing Address - Street 2:
Mailing Address - City:NORTH SALT LAKE
Mailing Address - State:UT
Mailing Address - Zip Code:84054-1947
Mailing Address - Country:US
Mailing Address - Phone:801-872-3234
Mailing Address - Fax:
Practice Address - Street 1:1010 N 500 E
Practice Address - Street 2:
Practice Address - City:NORTH SALT LAKE
Practice Address - State:UT
Practice Address - Zip Code:84054-1947
Practice Address - Country:US
Practice Address - Phone:801-872-3234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13292162-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical