Provider Demographics
NPI:1962484352
Name:BARANSKI, JAMES EDWARD (LMSW-PHD)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:EDWARD
Last Name:BARANSKI
Suffix:
Gender:M
Credentials:LMSW-PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 S BALLENGER HWY
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3638
Mailing Address - Country:US
Mailing Address - Phone:810-342-1000
Mailing Address - Fax:810-342-1590
Practice Address - Street 1:4448 OAKBRIDGE DR
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-5494
Practice Address - Country:US
Practice Address - Phone:810-342-5333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-19
Last Update Date:2010-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010357501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
056350OtherVALUE OPTIONS
MI1017750OtherMCLAREN HEALTH ADVANTAGE
MI01001923OtherHEALTH PLUS OF MI
1356480685OtherMCLAREN LMSW GROUP NPI#
MI1017750OtherMCLAREN HEALTH PLAN
MI1017750OtherMCLAREN HEALTH ADVANTAGE
MI0M41250002Medicare PIN