| Lindsay Gross | |
|
780 W Lake Lansing Rd Ste 100 East Lansing MI 48823-8452 | |
| (517) 281-6359 | |
| (517) 323-9531 |
| Full Name | Lindsay Gross |
|---|---|
| Speciality | Social Worker |
| Location | 780 W Lake Lansing Rd Ste 100, East Lansing, Michigan |
| Authorized Official Name and Position | Kiley Shilling (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5172582951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lindsay Gross 780 W Lake Lansing Rd Ste 100 East Lansing MI 48823-8452 Ph: (517) 281-6359 | Lindsay Gross 780 W Lake Lansing Rd Ste 100 East Lansing MI 48823-8452 Ph: (517) 281-6359 |
| NPI Number | 1861003014 |
|---|---|
| Provider Enumeration Date | 08/12/2020 |
| Last Update Date | 01/01/2022 |
| Certification Date | 01/01/2022 |
| Medicare PECOS PAC ID | 9739507237 |
|---|---|
| Medicare Enrollment ID | O20200915003534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861003014 | NPI | - | NPPES |
| 1780954180 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Lindsey Gross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780954180 PECOS PAC ID: 1951721729 Enrollment ID: I20201015002997 |
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