Diane Lydia Spink, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CW010446L Issued in PA

Practice address

4446 Golf View Dr
Brighton, MI 48116-9190

Phone

(267) 614-5323

NPI assigned

Apr 1, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1841432192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4446 GOLF VIEW DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481169190",
            "telephone_number": "267-614-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4446 GOLF VIEW DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481169190",
            "telephone_number": "267-614-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINK",
        "first_name": "DIANE",
        "middle_name": "LYDIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW010446L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007762890001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Brighton, MI
• Providers in Brighton, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.