Individual ProviderLori Beth Blumenstein-BottSocial WorkerBehavioral Health & Social Service ProvidersPractice Address6474 Pinecroft Dr, West Bloomfield, MI 48322-2245(248) 568-0354(248) 538-0250PECOS EnrollmentBased on the most recent information from CMS, provider Lori Beth Blumenstein-Bott does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1982995189Provider TypeIndividualFull NameBlumenstein-Bott, Lori BethTitleMrs.CredentialMSWGenderFemaleSole ProprietorYesEnumeration Date4/22/2011Last Updated4/22/2011Contact InformationPractice LocationPractice Address6474 Pinecroft Dr, West Bloomfield, MI 48322-2245Phone(248) 568-0354FaxUnlisted FaxMailing LocationMailing Address6474 Pinecroft Dr, West Bloomfield, MI 48322-2245Phone(248) 538-0250FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6801021179Michigan