Lynnette Susanne Labrecque, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801088757 Issued in MI

Practice address

6195 Miller Rd Ste a
Swartz Creek, MI 48473-1599

Phone

(810) 630-1152

NPI assigned

Mar 18, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lynnette Long Former name

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Antoinette Peterson, LLCGroup PAC ID 3072651835, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Antoinette Peterson,LLC

  • Clinical Social Worker
  • Highland, MI
  • NPI 1194050914
  Medicare reassignment Care Compare group NPD
• Training & Treatment Innovations Inc

  • Community/Behavioral Health Agency
  • Oxford, MI
  • NPI 1609857978
  Medicare reassignment NPD
• Training and Treatment Innovations Inc

  • Public Health or Welfare Agency
  • Sterling Heights, MI
  • NPI 1295084721
  NPD
• Delta Family Clinic South P.C

  • Adult Mental Health Clinic/Center
  • Flint, MI
  • NPI 1255509832
  NPD (past)
• Delta Family Clinic South PC

  • Clinical Psychologist
  • Bay City, MI
  • NPI 1902162746
  NPD (past)

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1821269721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6195 MILLER RD STE A",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731599",
            "telephone_number": "810-630-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6195 MILLER RD STE A",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731599",
            "telephone_number": "810-630-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRECQUE",
        "first_name": "LYNNETTE",
        "middle_name": "SUSANNE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNNETTE",
            "last_name": "LONG",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rammiz J Khoury, D.M.D
• Janell Klosterman, D.P.T.
• Jennifer Esma Knight, PT
• Kroger Co of Michigan
• Kristine Catherine Kuehnle-Denooijer, LLPC
• Carrie Lancaster
• Marilyn Elaine Langley, NURSE
• Penny S. Lantz, LMSW
• Katheryn Amanda Lawson, LMT
• Christine Leonard

• Clinical Social Worker in Swartz Creek, MI
• Providers in Swartz Creek, 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 Dec 20, 2012; 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.