Provider Demographics
NPI:1992350078
Name:GREENFIELD, LYNDSAY ELISE (LMSW)
Entity type:Individual
Prefix:
First Name:LYNDSAY
Middle Name:ELISE
Last Name:GREENFIELD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:LYNDSAY
Other - Middle Name:ELISE
Other - Last Name:RUHF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:460 JEAN DR
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL
Mailing Address - State:MI
Mailing Address - Zip Code:48818-9624
Mailing Address - Country:US
Mailing Address - Phone:517-749-2709
Mailing Address - Fax:
Practice Address - Street 1:724 E SUPERIOR ST
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:MI
Practice Address - Zip Code:48801-1900
Practice Address - Country:US
Practice Address - Phone:989-769-4555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-06
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011140251041C0700X
MI68011053361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical