Provider Demographics
NPI:1235389263
Name:LINDEMAN, JANAE BETH (LMSW)
Entity Type:Individual
Prefix:
First Name:JANAE
Middle Name:BETH
Last Name:LINDEMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 WOODSPOINTE DR SW
Mailing Address - Street 2:
Mailing Address - City:BYRON CENTER
Mailing Address - State:MI
Mailing Address - Zip Code:49315-8223
Mailing Address - Country:US
Mailing Address - Phone:616-970-0702
Mailing Address - Fax:616-954-1520
Practice Address - Street 1:900 WOODSPOINTE DR SW
Practice Address - Street 2:
Practice Address - City:BYRON CENTER
Practice Address - State:MI
Practice Address - Zip Code:49315-8223
Practice Address - Country:US
Practice Address - Phone:616-970-0702
Practice Address - Fax:616-954-1520
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010907581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P51090Medicare UPIN