Lisa M Kruman, LMSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801065247 Issued in MI

Practice address

6022 W Maple Rd Ste 403
W Bloomfield, MI 48322

Phone

(248) 684-4919

Fax

(248) 684-4919

NPI assigned

Feb 29, 2012

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1093089617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 BORDEAUX ST",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233014",
            "telephone_number": "248-684-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 W MAPLE RD STE 403",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-684-4919",
            "fax_number": "248-684-4919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5640 W Maple Rd",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223716",
            "country_code": "US",
            "telephone_number": "248-684-4919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUMAN",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "LMSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801065247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael M Kaplan, MD
• Synthia Jean Karpack, PA-C
• Nicole Elizabeth Karris, CRNA
• Kelly M Hefferon DO PC
• Deepbella Khalsa, ACNP
• L O C Consulting Services LLC
• Laura Elizabeth Large, L.M.S.W.
• Lydia Marie Lasichak, M.D.
• Zvi Levran, MD
• Thomas H Li, M.D.

• Clinical Social Worker in W Bloomfield, MI
• Providers in W Bloomfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.