Samantha Lichocki

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

5447 Woodward Ave
Detroit, MI 48202-4009

Phone

(313) 832-1100

NPI assigned

Sep 28, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1023327855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19276 GOLD RIVER DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444251",
            "telephone_number": "630-631-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5447 WOODWARD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482024009",
            "telephone_number": "313-832-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHOCKI",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Residential Care LLC
• Liberty Temple Outreach
• Julie Anne Liberty, AGPCNP-BC
• Jessica Kapunan Libo-on, RN
• Stephanie Lica, RDH, BSDH
• Felix J Liddell, M.D.
• Teneka L Liddell, RN
• Carol Lynn Lidstrom, PA-C
• Randy Alan Lieberman, MD
• Mary Wong Lieh-Lai, MD

• Speech-Language Pathologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.