Active NPI
Lisa Anne Radloff, BS, MCJ
- Case Manager/Care Coordinator
- Clinton TWP, MI
National Provider Identifier
1144058132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 43740 N Groesbeck Hwy
Clinton TWP, MI 48036-1139 - Phone
- (586) 469-7629
- Fax
- (586) 466-4143
- NPI assigned
- Jul 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
43740 N Groesbeck Hwy
Clinton TWP, MI 48036-1139
Mailing address
4921 Crooks Rd Apt M11
Royal Oak, MI 48073-1265
Phone (586) 265-0833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1144058132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4921 CROOKS RD APT M11",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480731265",
"telephone_number": "586-265-0833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43740 N GROESBECK HWY",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480361139",
"telephone_number": "586-469-7629",
"fax_number": "586-466-4143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADLOFF",
"first_name": "LISA",
"middle_name": "ANNE",
"credential": "BS, MCJ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-23",
"last_updated": "2024-07-23",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton TWP, MI
- Quality Rehabilitation Services, LLC (Divinity Home Care)
- Quality Rehabilitation Services, LLC (Divinity Home Care)
- Raymond T Quasarano, MD
- Allison Quigley
- Ashhad Rabeegh
- Aparna Rajagopal
- Shanna Lee Rangel
- Rapid Check Screening (Transition Care Partners)
- Wasim A Rathur, M.D.
- Hope Kristen Ray, M.A., LLPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.