MISS LINDSEY BRONOLD (LMSW) – Social Worker, NPI 1205353430

MISS LINDSEY BRONOLD (LMSW) is a healthcare provider. based in Grand rapids, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801101670 (MI). The NPI Number for MISS LINDSEY BRONOLD (LMSW) is 1205353430

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MISS LINDSEY BRONOLD (LMSW)
NPI
1205353430
Phone
(616) 402-0970
Address
855 ARDMORE ST SE
Enumeration Date
28 August 2017
Last Update Date
30 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6168053660
Graduation Year
2017 (9 years ago)
PAC ID
0345722450
Group Practice PAC ID
9234469255
Professional Enrollment ID
I20260306000634
Address ID
MI495462395GR625XXSEXX448
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MISS LINDSEY BRONOLD (LMSW)

  • 855 ARDMORE ST SE

    GRAND RAPIDS, MI 495072706

    Phone: (616) 402-0970

    Type: Mailing

  • Rust Avenue, Big Rapids, Mecosta County, Michigan, 49307, United States

    BIG RAPIDS, MI 493071771

    Phone: (616) 402-0970

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260306000634IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49507)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234469255View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Mental Health CounselorMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical PsychologistMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorIL

Reviews

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Frequently asked questions

Can I cross-check MISS LINDSEY BRONOLD (LMSW) using NPI 1205353430?
NPI 1205353430 belongs to MISS LINDSEY BRONOLD (LMSW); compare other details if you need extra assurance.
Would MISS LINDSEY BRONOLD (LMSW) appear as active to a payer?
You can treat MISS LINDSEY BRONOLD (LMSW) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MISS LINDSEY BRONOLD (LMSW)?
MISS LINDSEY BRONOLD (LMSW)'s specialty line reads Social Worker. Clinical services aligned with this taxonomy classification.
Where in Michigan is MISS LINDSEY BRONOLD (LMSW) registered?
Use Grand Rapids, Michigan as the headline location for MISS LINDSEY BRONOLD (LMSW) here.
When was this NPI issued?
Enumeration for MISS LINDSEY BRONOLD (LMSW) is noted as August 28, 2017 where the registry provides it.

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