Cornel Reese Lynch Jr.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851119400 Issued in MI

Practice address

15600 19 Mile Rd
Clinton Township, MI 48038-3502

Phone

(586) 999-5971

Fax

(248) 712-4381

NPI assigned

Dec 8, 2017

Last updated

Jun 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750550400000",
    "number": "1740795095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33464 SCHOENHERR RD STE 180",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483126392",
            "telephone_number": "586-999-5971",
            "fax_number": "248-712-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 19 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383502",
            "telephone_number": "586-999-5971",
            "fax_number": "248-712-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "CORNEL",
        "middle_name": "REESE",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-08",
        "last_updated": "2025-06-22",
        "certification_date": "2025-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851119400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren A Luna, LMSW
• Aaron M Lundgaard, DC
• Carly Lynn Luptowski
• David Lustig, DO
• Luxottica of America Inc. (LensCrafters #05618)
• Jessica Corsaut Lynch, B.A., S.S.T.
• Michelle Lyon, LLPC
• Adrian D Lyons
• Nathan James Lyons, DC
• M.a. Schwartz Optometrist Inc

• Clinical Social Worker in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2025; 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.