Individual provider Active NPI

Lynne Ruth Birnholz, LCSW

  • School Social Worker
  • Clarence, NY
National Provider Identifier
1477839314
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
070225-1 Issued in NY
Practice address
9625 Main St
Clarence, NY 14031-2001
Phone
(716) 407-9275
Fax
(716) 407-9007
NPI assigned
Oct 24, 2011
Last updated
Oct 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 070225-1 NY Primary

Addresses

Primary practice location

9625 Main St
Clarence, NY 14031-2001

Mailing address

39 Gatehouse LN
East Amherst, NY 14051-2706
Phone (716) 407-9275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20191114000568 FL Practitioner - Clinical Social Worker 7113359076 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070225-1NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Different Like Me Inc CurrentSince Oct 22, 2019 Accepting new patients
Brain Lane Memory Center LLC Past Accepting new patients
Clarence Central School District Past Accepting new patients

Locations

1601 Clint Moore Rd
Ste 120
Boca Raton, FL 33487
Phone (561) 270-2280

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1477839314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GATEHOUSE LN",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140512706",
            "telephone_number": "716-407-9275",
            "fax_number": "716-407-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140312001",
            "telephone_number": "716-407-9275",
            "fax_number": "716-407-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRNHOLZ",
        "first_name": "LYNNE",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "070225-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarence, NY

Sources for this page

Verify at the official NPI Registry.