Active NPI
Lisa Ann Ragnoli, LMSW
- Clinical Social Worker
- Romeo, MI
National Provider Identifier
1013263706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801093309
- Practice address
- 124 West Gates
Suite 102
Romeo, MI 48065 - Phone
- (586) 336-0422
- Fax
- (586) 336-0409
- NPI assigned
- Jul 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 376013 | MI | |
| Clinical Social Worker | 1041C0700X | 6801093309 | MI | Primary |
| Social Worker | 104100000X | 6801093309 | MI |
Addresses
Primary practice location
124 West Gates
Suite 102
Romeo, MI 48065
Mailing address
124 West Gates Suite 102
Romeo, MI 48065
Phone (586) 336-0422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 376013 | MI | MD | Social Worker |
| 6801093309 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macomb Family Services, Inc | Clinical | Past | Accepting new patients |
| Macomb Family Services, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/macombfamily/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Bruce TWP, MI
- NPI 1992239511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1013263706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 WEST GATES SUITE 102",
"city": "ROMEO",
"state": "MI",
"postal_code": "48065",
"telephone_number": "586-336-0422",
"fax_number": "586-336-0409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 WEST GATES",
"address_2": "SUITE 102",
"city": "ROMEO",
"state": "MI",
"postal_code": "48065",
"telephone_number": "586-336-0422",
"fax_number": "586-336-0409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGNOLI",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-31",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "376013",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801093309",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801093309",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Romeo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.