Healthcare Provider Details

I. General information

NPI: 1982210365
Provider Name (Legal Business Name): BEN LEMANSKI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2020
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1734 HEATHERRIDGE ST
YPSILANTI MI
48198-6626
US

IV. Provider business mailing address

512 N ASHLEY ST APT 2
ANN ARBOR MI
48103-3362
US

V. Phone/Fax

Practice location:
  • Phone: 248-303-7367
  • Fax:
Mailing address:
  • Phone: 248-303-7367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2607621
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801118271
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: