MR. LYNELL DENNIS CREW (NPI# 1881834984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881834984 |
| Entity Type | Individual |
| Full Name | MR. LYNELL DENNIS CREW |
| Credential | LBSW |
| Practice Address |
2710 W 12 Mile Rd Berkley MI 48072-1630 |
| Mailing Address |
19830 W 12 Mile Rd Apt 32 Southfield MI 48076-2545 |
| Practice Telephone | 2485431090 |
| Practice Fax Number | 2485430017 |
| Mailing Telephone | 2485590025 |
| Mailing Fax Number | 2485430017 |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2018-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6802067355 | MI | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | MI | Behavioral Health & Social Service Providers |
| Street Address |
2710 W 12 MILE RD |
| City | BERKLEY |
| State | MI |
| Zip Code | 48072-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740601632 | Kristine Schade | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2013-12-19 |
| 1972843928 | Peter Marsh | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2013-02-27 |
| 1912247107 | Robert Furwa | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2013-02-25 |
| 1851662134 | Leilani Edmonds | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2012-01-19 |
| 1528357191 | Jason Phillip Cauley | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2011-04-04 |
| 1083923254 | Eric Shawn Molitor | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2010-10-05 |
| 1841502424 | Richard M Smith | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2010-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1790202224 | Medcrafters Rx Pharmacy LLC | Pharmacy | 3348 W 12 Mile Rd, Berkley, MI 48072 | 2017-08-25 |
| 1144684861 | Marilyn Ann Hawkins | Registered Nurse | 2766 West 11 Mile Rd., Beckley, MI 48072 | 2016-04-08 |
| 1134547862 | Rimma Polevoy | Internal Medicine | 1949 12 Mile Rd Ste 100, Berkley, MI 48072 | 2014-03-31 |
| 1245676212 | Chelsea Peraino Smoots | Social Worker | 892 11 Mile Rd, Berkley, MI 48072 | 2013-05-17 |
| 1770730483 | Bryce Paul Roekle | Counselor | 1799 Phillips Avenue, Berkley, MI 48072 | 2008-08-25 |
| 1003003617 | Oakland Family Services | Community/Behavioral Health | 2351 West 12 Mile Road, Berkley, MI 48072 | 2007-09-27 |
| 1063605012 | Care Plus Home Health Services, Inc | Home Health | 28139 Woodward Ave, Berkley, MI 48072 | 2007-08-23 |
| 1346370020 | David Jason Carpenter | Social Worker | 2345 West 12 Mile Road, Berkley, MI 48072 | 2007-03-06 |
| 1871674192 | Robert Igwe | Internal Medicine | 1949 West Twelve Mile Rd, Ste 200, Berkley, MI 48072 | 2006-10-17 |
| Find all providers in zip 48072 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1134278153 | Lisa Marie Cassani-robitaille | Counselor | 4 Maple Dr, Berkley, MA 02779-1425 | 2007-01-09 |
| 1376610154 | Lisa Marie Phillips | Counselor | 2710 12 Mile Rd, Berkley, MI 48072-1630 | 2006-11-29 |
| 1700411410 | Glenbeigh Psychological Care LLC | Counselor | 15 Stanley Ave, Berkley, MA 02779-1917 | 2020-03-03 |
| 1740601632 | Kristine Schade | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2013-12-19 |
| 1972843928 | Peter Marsh | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2013-02-27 |
| 1912247107 | Robert Furwa | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2013-02-25 |
| 1851662134 | Leilani Edmonds | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2012-01-19 |
| 1528357191 | Jason Phillip Cauley | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2011-04-04 |
| 1083923254 | Eric Shawn Molitor | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2010-10-05 |
| Find all providers in BERKLEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.