Individual provider Active NPI

Linda Lee Lawrence, LMSW ACSW

  • Social Worker
  • East Lansing, MI
National Provider Identifier
1124312525
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
68010183188 Issued in MI
Practice address
5030 Northwind Dr Ste 108
East Lansing, MI 48823-5034
Phone
(517) 336-4335
Fax
(517) 336-0101
NPI assigned
Jun 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 68010183188 MI Primary

Addresses

Primary practice location

5030 Northwind Dr Ste 108
East Lansing, MI 48823-5034

Mailing address

1031 E Saginaw St
Lansing, MI 48906-5519
Phone (517) 487-9642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110830000052 MI Practitioner - Clinical Social Worker 2769652809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Community ResourcesGroup PAC ID 8628248119, 3 clinicians

Practice addresses (Care Compare)

2395 Jolly Rd
Suite 195
Okemos, MI 48864-5987
Phone (517) 336-4335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68010183188MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Community Resources CurrentSince Aug 1, 2011 Accepting new patients
New Community Resources Past Accepting new patients

Locations

5030 Northwind Dr
Ste 108
East Lansing, MI 48823
Phone (517) 336-4335

1031 E Saginaw St
Lansing, MI 48906
Phone (517) 487-1128

2111 University Park Dr
Ste 100
Okemos, MI 48864
Phone (517) 336-4335

2395 Jolly Rd
Ste 195
Okemos, MI 48864
Phone (517) 336-4335

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1124312525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 E SAGINAW ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489065519",
            "telephone_number": "517-487-9642",
            "fax_number": "517-487-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 NORTHWIND DR STE 108",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235034",
            "telephone_number": "517-336-4335",
            "fax_number": "517-336-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "LINDA",
        "middle_name": "LEE",
        "credential": "LMSW ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "68010183188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.