Individual provider Active NPI

Amber Leigh Lossing, LMSW

  • Social Worker
  • Southgate, MI
National Provider Identifier
1154729275
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801097550 Issued in MI
Practice address
1 Heritage Dr Ste 520
Southgate, MI 48195-3051
Phone
(248) 483-0530
Fax
(248) 605-3525
NPI assigned
Dec 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801097550 MI
Social Worker 104100000X 6801097550 MI Primary

Addresses

Primary practice location

1 Heritage Dr Ste 520
Southgate, MI 48195-3051

Mailing address

PO Box 34
Taylor, MI 48180-0034
Phone (313) 930-7044

Other names 1

  • Amber Leigh Marie Hickman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801097550MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ismail B. Sendi, MD, PC CurrentSince Jul 9, 2018 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Jul 9, 2018 Accepting new patients

Locations

6549 Town Center Dr
Ste A
Clarkston, MI 48346
Phone (248) 620-6400

13305 Reeck Ct
Southgate, MI 48195
Phone (734) 225-2090

Organizations & group practices 2

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": "1417824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1154729275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481800034",
            "telephone_number": "313-930-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HERITAGE DR STE 520",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953051",
            "telephone_number": "248-483-0530",
            "fax_number": "248-605-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSSING",
        "first_name": "AMBER",
        "middle_name": "LEIGH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-06",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097550",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801097550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "HICKMAN",
            "middle_name": "LEIGH MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.