Lynn L Nickens, M.S.W., Lcsw

LBN: Reallifedreams
Lynn L Nickens, M.S.W., Lcsw is an health care organization with primary practice located at 14240 Saint Andrews Dr Suite 101, Victorville CA 92395-4308. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Reallifedreams can be contacted via phone (760) 927-8896, or through Nickens, Lynn via phone (760) 927-8896.

Contact Information

Primary practice address
14240 Saint Andrews Dr Suite 101 Victorville CA 92395-4308
Phone: (760) 927-8896
Fax: (866) 382-9020
Website:
Map and Directions
Authorized official contact:
Name: Nickens, Lynn Licensed Clinical Social Worker (LCSW)
Phone: (760) 927-8896

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 18158 California

Profile Details

NPI number 1457626889
LBN Legal business name Reallifedreams
DBA Doing business as Lynn L Nickens, M.S.W., Lcsw
Authorized official Nickens, Lynn Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2012
Last updated Mar 19th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457626889 NPPES
California Other 1114138252 NPI

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