Provider Demographics
NPI:1770699951
Name:STONE, LYNNE CHERYL (MA, EDM, MSW, LCSW,)
Entity type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:CHERYL
Last Name:STONE
Suffix:
Gender:F
Credentials:MA, EDM, MSW, LCSW,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 KENOSIA AVE
Mailing Address - Street 2:STE 302
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7360
Mailing Address - Country:US
Mailing Address - Phone:203-743-9012
Mailing Address - Fax:203-743-9012
Practice Address - Street 1:41 KENOSIA AVE
Practice Address - Street 2:STE 302
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7360
Practice Address - Country:US
Practice Address - Phone:203-743-9012
Practice Address - Fax:203-743-9012
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0048441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0007204577OtherAETNA
CTP2159350OtherOXFORD
CT11403041OtherCAQH
CT163859OtherVALUE OPTIONS-PITNEY BOWE
CT2068783OtherCIGNA
CT140004844CT03OtherANTHEM BH
CT275249OtherMHN/HEALTHNET
CT7349733OtherVALUE OPTIONS-EMPIRE GHI