Lorinda Blaisdell, LLMSW
Individual provider Active NPI Clinical Social Worker · Menominee, MI
NPI 1841473519 · NPPES record last updated Sep 2, 2009
Key facts
- NPI
- 1841473519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801089713 (MI)
- Practice address
- 401 10TH Ave
Menominee, MI 49858-3009 - Phone
- (906) 863-7841
- NPI assigned
- Dec 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240403002348 | MA | Practitioner - Clinical Social Worker | 7911049846 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Behavioral Health Corporation | Current |
Accepting new patients |
Locations
199 Rosewood Dr
Ste 250
Danvers, MA 01923
Phone (978) 867-7756
12 Methuen St
Ste 3
Lawrence, MA 01840
Phone (978) 683-3128
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801089713 | MI | Yes |
Addresses
Primary practice location
401 10TH Ave
Menominee, MI 49858-3009
Mailing address
715 Pyle Dr
Kingsford, MI 49802-4456
Phone (906) 774-0522
Other providers in Menominee, MI
- John Owens Beldo
- Sherry Lynn Benson
- Trudy A Berger
- Macy Lea Berzsenyi
- Joanne Black
- Emily J Boettcher
- Abigayle Bradfield
- Ann Bresnahan
- Katie Broeders
- Barbara A Brown
All providers in Menominee, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.