Active NPI
Lynnette H Bilal, LSW
- Social Worker
- Boardman, OH
National Provider Identifier
1497334080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0017692
- Practice address
- 5500 Market St Ste 106
Boardman, OH 44512-2616 - Phone
- (330) 623-5387
- NPI assigned
- Apr 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.0017692 | OH | Primary |
Addresses
Primary practice location
5500 Market St Ste 106
Boardman, OH 44512-2616
Mailing address
2340 Coronado Ave
Youngstown, OH 44504-1311
Phone (330) 507-3769
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.0017692 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1497334080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 CORONADO AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041311",
"telephone_number": "330-507-3769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 MARKET ST STE 106",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445122616",
"telephone_number": "330-623-5387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILAL",
"first_name": "LYNNETTE",
"middle_name": "H",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-02",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0017692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.