Provider Demographics
NPI:1700453149
Name:LININGER, MELISSA SUSANNE (LMSW, ADS)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:SUSANNE
Last Name:LININGER
Suffix:
Gender:F
Credentials:LMSW, ADS
Other - Prefix:MRS
Other - First Name:MELISSA
Other - Middle Name:SUSANNE
Other - Last Name:LININGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW, ADS
Mailing Address - Street 1:PAIN MANAGEMENT CENTER
Mailing Address - Street 2:1200 E. MICHIGAN AVENUE
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912
Mailing Address - Country:US
Mailing Address - Phone:269-317-5541
Mailing Address - Fax:517-364-5335
Practice Address - Street 1:PAIN MANAGEMENT CENTER
Practice Address - Street 2:1200 E. MICHIGAN AVENUE
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912
Practice Address - Country:US
Practice Address - Phone:269-317-5541
Practice Address - Fax:517-364-5335
Is Sole Proprietor?:No
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011090361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical