Individual provider Active NPI

Lynne Biernacki, LMSW, LMFT

  • Social Worker
  • Holland, MI
National Provider Identifier
1346329737
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4101005176 Issued in MI
Practice address
3663 Lakeshore Dr N
Holland, MI 49424-1114
Phone
(616) 399-4949
Fax
(616) 399-4949
NPI assigned
Nov 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4101005176 MI Primary

Addresses

Primary practice location

3663 Lakeshore Dr N
Holland, MI 49424-1114

Mailing address

3663 Lakeshore Dr N
Holland, MI 49424-1114
Phone (616) 399-4949

Other names 1

  • Lynne Gorman Salisbury Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4101005176MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346329737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 LAKESHORE DR N",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241114",
            "telephone_number": "616-399-4949",
            "fax_number": "616-399-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 LAKESHORE DR N",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241114",
            "telephone_number": "616-399-4949",
            "fax_number": "616-399-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERNACKI",
        "first_name": "LYNNE",
        "credential": "LMSW, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "4101005176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNNE",
            "last_name": "SALISBURY",
            "middle_name": "GORMAN",
            "credential": "CSW, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.