Provider Demographics
NPI:1548298631
Name:LANASKY, BARBARA (LMSW)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:LANASKY
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 1:5269 DANIEL DR
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-9036
Mailing Address - Country:US
Mailing Address - Phone:734-377-2035
Mailing Address - Fax:810-522-8446
Practice Address - Street 1:738 W GRAND RIVER AVE STE C
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-2332
Practice Address - Country:US
Practice Address - Phone:810-522-8445
Practice Address - Fax:810-522-8446
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010347521041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical