Provider Demographics
NPI:1871878363
Name:CLIFTON, LYNNE BURTON (LCSW-PIP)
Entity type:Individual
Prefix:
First Name:LYNNE
Middle Name:BURTON
Last Name:CLIFTON
Suffix:
Gender:F
Credentials:LCSW-PIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 OFFICE PARK CIR
Mailing Address - Street 2:STE 310
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2536
Mailing Address - Country:US
Mailing Address - Phone:205-206-9767
Mailing Address - Fax:205-206-9767
Practice Address - Street 1:3 OFFICE PARK CIR
Practice Address - Street 2:STE 310
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2536
Practice Address - Country:US
Practice Address - Phone:205-206-9767
Practice Address - Fax:205-206-9767
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-15
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0043501041C0700X
AL3538C104100000X
AL1083-3538C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker