LYMES' YOUTH SERVICE BUREAU
NPI 1336492404
Social Worker - Clinical in Old Lyme, CT

Active since October 26, 2012
59 LYME ST, OLD LYME, CT 06371(860) 434-7208(860) 434-1580 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lymes' Youth Service Bureau NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYMES' YOUTH SERVICE BUREAU (NPI 1336492404) is a healthcare organization registered as a clinical in Old Lyme, Connecticut and active in the NPI registry since October 2012. The organization lists Mary Varisco Seidner, Director, as its authorized official.

NPPES Registry Identity

NPI1336492404
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLYMES' YOUTH SERVICE BUREAU
Location Address59 LYME STOld Lyme, CT 06371-2359
Mailing Address59 Lyme StOld Lyme, CT 06371-2359 · (860) 434-7208 · Fax (860) 434-1580
Fax(860) 434-1580
Organization SubpartNo
Authorized OfficialMary Varisco SeidnerDirector · (860) 434-7208
Enumeration DateOctober 26, 2012
NPI 1336492404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
59 LYME ST, Old Lyme, CT 06371

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lymes' Youth Service Bureau's NPI number?

The NPI number for Lymes' Youth Service Bureau is 1336492404. It was assigned to this organization in the NPPES registry on October 26, 2012.

Where is Lymes' Youth Service Bureau located?

Lymes' Youth Service Bureau is located at 59 Lyme St, Old Lyme, CT 06371. The listed phone number is (860) 434-7208.

What is Lymes' Youth Service Bureau's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Lymes' Youth Service Bureau was last updated on October 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.