Individual provider Active NPI

Lindsey Cisse, LMSW

  • Clinical Social Worker
  • Southgate, MI
National Provider Identifier
1043623283
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801096795 Issued in MI
Practice address
13305 Reeck Road
Southgate, MI 48195-3197
Phone
(734) 225-2090
Fax
(734) 225-2091
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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 6801096795 MI Primary

Addresses

Primary practice location

13305 Reeck Road
Southgate, MI 48195-3197

Mailing address

6549 Town Center Dr
Suite a
Clarkston, MI 48346-4824
Phone (248) 620-6400

Other names 1

  • Lindsey Duda Former name

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
I20160812000113 MI Practitioner - Clinical Social Worker 4486948569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hamilton Wellness PLCGroup PAC ID 6901130459, 5 clinicians

Practice addresses (Care Compare)

16931 19 Mile Rd
Suite 140
Clinton Township, MI 48038-4841
Phone (586) 226-2822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Wellness, PLC CurrentSince Jan 24, 2024 Accepting new patients
County of Macomb CurrentSince Feb 2, 2023 Accepting new patients
County of Macomb CurrentSince Feb 2, 2023 Accepting new patients
Ismail B. Sendi, MD PC Past Accepting new patients

Locations

43740 N Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 469-7229

16931 19 Mile Rd
Ste 140
Clinton Twp, MI 48038
Phone (586) 226-2822

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

42669 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 412-5321

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1043623283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6549 TOWN CENTER DR",
            "address_2": "SUITE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464824",
            "telephone_number": "248-620-6400",
            "fax_number": "248-620-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13305 REECK ROAD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953197",
            "telephone_number": "734-225-2090",
            "fax_number": "734-225-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISSE",
        "first_name": "LINDSEY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "DUDA",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.