Individual provider Active NPI

Lisa B Whitehead, MSW ACSW LCSW

  • Social Worker
  • Okemos, MI
National Provider Identifier
1104926880
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801064670 Issued in MI
Practice address
4084 Okemos Rd Ste a
Okemos, MI 48864-3258
Phone
(517) 347-4848
NPI assigned
Sep 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801064670 MI Primary

Addresses

Primary practice location

4084 Okemos Rd Ste a
Okemos, MI 48864-3258

Mailing address

4084 Okemos Rd Ste a
Okemos, MI 48864-3258
Phone (517) 347-4848

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
I20071228000463 MI Practitioner - Clinical Social Worker 4284714478 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michalowski & Whitehead LLC Social Worker Current Accepting new patients
Community Mental Health Authority of Clinton Eaton Ingham Counties CurrentSince Jan 3, 2026 Accepting new patients
Clinton,Eaton, Ingham, Community Mental Health Past Accepting new patients

Locations

228 S Cochran Ave
Charlotte, MI 48813
Phone (517) 543-5100

812 E Jolly Rd
Ste 216
Lansing, MI 48910
Phone (517) 346-9525

812 E Jolly Rd
Ste 210
Lansing, MI 48910
Phone (517) 237-7162

812 E Jolly Rd
Ste 109
Lansing, MI 48910

812 E Jolly Rd
Lansing, MI 48910
Phone (517) 237-7162

134 W Maple St
Mason, MI 48854
Phone (517) 676-9788

2220 University Park Dr
Okemos, MI 48864
Phone (517) 347-4848

4084 Okemos Rd
Okemos, MI 48864
Phone (517) 347-4848

4084 Okemos Rd
Ste A
Okemos, MI 48864
Phone (517) 347-4848

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1104926880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4084 OKEMOS RD STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643258",
            "telephone_number": "517-347-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4084 OKEMOS RD STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643258",
            "telephone_number": "517-347-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "LISA",
        "middle_name": "B",
        "credential": "MSW ACSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801064670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.