Basic Information
Provider Information
NPI: 1730496662
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BAROWSKI
FirstName: LYNN
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: LICSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 WALL ST
Address2: STE 300
City: MANCHESTER
State: NH
PostalCode: 031011518
CountryCode: US
TelephoneNumber: 6036684111
FaxNumber:  
Practice Location
Address1: 2 WALL ST
Address2: STE 400
City: MANCHESTER
State: NH
PostalCode: 031011518
CountryCode: US
TelephoneNumber: 6036684111
FaxNumber: 6036287757
Other Information
ProviderEnumerationDate: 09/14/2010
LastUpdateDate: 03/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000X  N Behavioral Health & Social Service ProvidersCounselor 
1041C0700X  N Behavioral Health & Social Service ProvidersSocial WorkerClinical
1041C0700X2299NHY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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