Provider Demographics
NPI:1720355936
Name:WHITE, LYNN CHRISTINE (LBSW)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:CHRISTINE
Last Name:WHITE
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 TOWERLINE ROAD
Mailing Address - Street 2:SCCMHA
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601
Mailing Address - Country:US
Mailing Address - Phone:989-797-3536
Mailing Address - Fax:989-754-7829
Practice Address - Street 1:1040 TOWERLINE ROAD
Practice Address - Street 2:SAGINAW COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601
Practice Address - Country:US
Practice Address - Phone:989-797-3536
Practice Address - Fax:989-754-7829
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802074032104100000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker