Active NPI
Tara Lisk, LLMSW
- Social Worker
- Lansing, MI
National Provider Identifier
1013713650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6851118162
- Practice address
- 13750 S Sedona Pkwy
Lansing, MI 48906-8101 - Phone
- (517) 353-4000
- Fax
- (517) 353-4001
- NPI assigned
- Feb 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6851118162 | MI | Primary |
Addresses
Primary practice location
13750 S Sedona Pkwy
Lansing, MI 48906-8101
Mailing address
804 Service Rd Ste A202
East Lansing, MI 48824-7015
Phone (517) 353-4000
Other practice location 1
4660 S Hagadorn Rd Ste 405
East Lansing, MI 48823-6819
Phone (517) 884-8600
Other practice location 2
1600 W Grand River Ave Ste 2
Okemos, MI 48864-2394
Phone (517) 349-6560
Other practice location 3
1200 E Michigan Ave Ste 145
Lansing, MI 48912-1897
Phone (517) 364-5440
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851118162 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1013713650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD STE A202",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-353-4000",
"fax_number": "517-353-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13750 S SEDONA PKWY",
"city": "LANSING",
"state": "MI",
"postal_code": "489068101",
"telephone_number": "517-353-4000",
"fax_number": "517-353-4001"
}
],
"practiceLocations": [
{
"address_1": "4660 S Hagadorn Rd Ste 405",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488236819",
"country_code": "US",
"telephone_number": "517-884-8600",
"fax_number": "517-884-8650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 W Grand River Ave Ste 2",
"address_purpose": "LOCATION",
"city": "Okemos",
"state": "MI",
"postal_code": "488642394",
"country_code": "US",
"telephone_number": "517-349-6560",
"fax_number": "517-349-5796",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 E Michigan Ave Ste 145",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489121897",
"country_code": "US",
"telephone_number": "517-364-5440",
"fax_number": "517-364-5409",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LISK",
"first_name": "TARA",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-24",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6851118162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.