Provider Demographics
NPI:1720852718
Name:HEFFERN, LYNN MARIE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:MARIE
Last Name:HEFFERN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:LYNN
Other - Middle Name:MARIE
Other - Last Name:VOEGELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:91 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-1620
Mailing Address - Country:US
Mailing Address - Phone:610-716-8395
Mailing Address - Fax:
Practice Address - Street 1:129 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:VOORHEESVILLE
Practice Address - State:NY
Practice Address - Zip Code:12186-9726
Practice Address - Country:US
Practice Address - Phone:518-765-2382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0956741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical