| Lyndi N Farnam | |
|
2109 N Patterson St Ste B Valdosta GA 31602-2577 | |
| (229) 232-4833 | |
| (877) 343-0538 |
| Full Name | Lyndi N Farnam |
|---|---|
| Speciality | Social Worker |
| Location | 2109 N Patterson St Ste B, Valdosta, Georgia |
| Authorized Official Name and Position | Lyndi Nicole Farnam (OWNER) |
| Authorized Official Contact | 4065650064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyndi N Farnam 2109 N Patterson St Ste B Valdosta GA 31602-2577 Ph: (229) 232-4833 | Lyndi N Farnam 2109 N Patterson St Ste B Valdosta GA 31602-2577 Ph: (229) 232-4833 |
| NPI Number | 1225483704 |
|---|---|
| Provider Enumeration Date | 05/03/2016 |
| Last Update Date | 08/08/2023 |
| Certification Date | 08/08/2023 |
| Medicare PECOS PAC ID | 1052604873 |
|---|---|
| Medicare Enrollment ID | O20160801000907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225483704 | NPI | - | NPPES |
| 1013294966 | Other | GA | BLUE CROSS BLUE SHIELD/ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW005216 (Georgia) | Primary |
| Provider Name | Lyndi Farnam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013294966 PECOS PAC ID: 6305068255 Enrollment ID: I20141110002358 |
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