Individual provider Active NPI

Lizette Chacon, LMSW

  • Clinical Social Worker
  • Mason, MI
National Provider Identifier
1033711395
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801119532 Issued in MI
Practice address
649 Joan Dr
Mason, MI 48854-9546
Phone
(517) 862-8755
NPI assigned
Nov 12, 2020
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801119532 MI Primary

Addresses

Primary practice location

649 Joan Dr
Mason, MI 48854-9546

Mailing address

649 Joan Dr
Mason, MI 48854-9546
Phone (517) 862-8755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102001950 MI Practitioner - Clinical Social Worker 7416484449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
I Am Healing Therapy and Wellness Consulting PLLCGroup PAC ID 8527408434, 2 clinicians

Practice addresses (Care Compare)

2450 Delhi Commerce Dr
Suite 7
Holt, MI 48842-2193
Phone (517) 927-7117

649 Joan Dr
Mason, MI 48854-9546
Phone (517) 862-8755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801119532MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Haven of Resilience Psychotherapy, LLC Clinical CurrentSince Jul 25, 2025 Accepting new patients
I Am Healing Therapy and Wellness Consulting PLLC Clinical CurrentSince Dec 27, 2024 Accepting new patients
Spring Forest Counseling LLP CurrentSince Dec 27, 2024 Accepting new patients

Locations

1795 Cedar St
Ste K
Holt, MI 48842
Phone (517) 507-5892

2450 Delhi Commerce Dr
Ste 7
Holt, MI 48842
Phone (517) 435-9491

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1033711395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 JOAN DR",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549546",
            "telephone_number": "517-862-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 JOAN DR",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549546",
            "telephone_number": "517-862-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON",
        "first_name": "LIZETTE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, MI

Sources for this page

Verify at the official NPI Registry.