Provider Demographics
NPI:1679533095
Name:CEARLEY, LYNN MCPHERSON (LCSW)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:MCPHERSON
Last Name:CEARLEY
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 1:2628 SAN MEDINA AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-3116
Mailing Address - Country:US
Mailing Address - Phone:214-328-1471
Mailing Address - Fax:214-456-5940
Practice Address - Street 1:6300 HARRY HINES BLVD
Practice Address - Street 2:SUITE 900
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-5259
Practice Address - Country:US
Practice Address - Phone:214-456-8980
Practice Address - Fax:214-456-5940
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical