MEDICARE: ADELINE LUNDGREN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6851122176	MI

General Provider Information

NPI Number	:	1740118843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADELINE LUNDGREN

Provider Business Mailing Address
First Line	:	40775 KATIE DR
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48375-5132
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	28303 DEQUINDRE RD STE 100
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-3040
Country	:	US
Telephone Number	:	248-658-1116
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

Similar Medicare Providers

1265437388 — DR. KEHINDE AWOFALA DDS
Practice Location Address:

28303 DEQUINDRE RD , STE 130
MADISON HEIGHTS, MI
48071-3040

Practice Phone: 248-545-7288
Practice Fax: 248-545-7279

1881882140 — SWIFT HOME CARE LLC
Practice Location Address:

28303 DEQUINDRE RD , 120
MADISON HEIGHTS, MI
48071-3040

Practice Phone: 248-398-8827
Practice Fax: 248-398-8894

1942510516 — SACRED HEART REHABILITATION CENTER, INC
Practice Location Address:

28303 DEQUINDRE RD
MADISON HEIGHTS, MI
48071-3040

Practice Phone: 248-658-1116
Practice Fax: 248-658-1120

1528312667 — MS. GINETTA MARIE HARDY LLPC
Practice Location Address:

28303 DEQUINDRE RD
MADISON HEIGHTS, MI
48071-3040

Practice Phone: 248-543-0033
Practice Fax:

1124436803 — JELINDA ALYACOUB LPN
Practice Location Address:

28303 DEQUINDRE RD
MADISON HEIGHTS, MI
48071-3040

Practice Phone: 248-658-1116
Practice Fax:

1013373471 — CAROLYN JANE DODSON NP
Practice Location Address:

28303 DEQUINDRE RD STE 100
MADISON HEIGHTS, MI
48071-3040

Practice Phone: 248-658-1116
Practice Fax:

Directions to “ ADELINE LUNDGREN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.