Lakeshore Integrative Mental Health Services, LLC
NPI 1447644471ActiveOrganization· Social Worker, Clinical· Norton Shores, MI
Social Worker, Clinical in Norton Shores, Michigan, registered in NPPES in March 2015. The authorized official on file is Diane Lynn Bruursema, LMSW, ACSW, Owner/Clinical Social Worker. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1447644471 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 27, 2015 |
| Last updated in NPPES | Mar 27, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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