Provider Demographics
NPI:1104996362
Name:STERCHI, LYNN CARROLL (LCSW)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:CARROLL
Last Name:STERCHI
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:PO BOX 2257
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97470-0458
Mailing Address - Country:US
Mailing Address - Phone:541-580-8215
Mailing Address - Fax:541-496-0456
Practice Address - Street 1:536 NE WINCHESTER ST
Practice Address - Street 2:STE C
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97470-3265
Practice Address - Country:US
Practice Address - Phone:541-580-8215
Practice Address - Fax:541-496-0456
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL38751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical