Shana Lin Bombrys, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801088484 Issued in MI

Practice address

780 W Lake Lansing Rd # S6Te200
East Lansing, MI 48823-8474

Phone

(517) 882-6159

NPI assigned

May 21, 2007

Last updated

May 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• St. Vincent Catholic Charities

  • Voluntary or Charitable Agency
  • Lansing, MI
  • NPI 1619907631
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1750590618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 W LAKE LANSING RD # S6TE200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238474",
            "telephone_number": "517-882-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 W LAKE LANSING RD # S6TE200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238474",
            "telephone_number": "517-882-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMBRYS",
        "first_name": "SHANA",
        "middle_name": "LIN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC. I.D.",
            "identifier": "6801088484",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Lyn Bokor
• Chanda Bolander, LLMSW
• Bryan E Bolen, DO
• Maryanne K Boltz, LMSW
• Madelaine Bombard, LMT
• Diana Bonaccorsi, DO
• Tejas Bondade, D.O.
• Kathleen Marie Bonhaus, MA CBIS
• Anthony Ulisses Bonilla-Salmeron, MD
• Saisha Nicole Bonner

• Clinical Social Worker in East Lansing, MI
• Providers in East Lansing, 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 May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.