Melody Stashia Litkouhi, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801093988 Issued in MI

Practice address

5716 Michigan Ave
Detroit, MI 48210-3039

Phone

(313) 963-2266

NPI assigned

Dec 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1154742146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31831 GRAND RIVER AVE UNIT 64",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483364148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5716 MICHIGAN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482103039",
            "telephone_number": "313-963-2266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38600 Van Dyke Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483121171",
            "country_code": "US",
            "telephone_number": "191-680-0693",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITKOUHI",
        "first_name": "MELODY",
        "middle_name": "STASHIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801093988",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "L2473818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Randon MD LLC
• Robert Philip Lisak, MD
• Jenaye Laron Lisbon, FNP
• Michelle Marie Liss Gaits
• Ryan Walter Lithgow, PHYSICAL THERAPIST
• Luis Litonjua, DMD, DDS
• Little Magic Therapies, LLC
• Little Mighty Clouds of Joy, LLC
• Little Rock Baptist Charity Care Center, Inc.
• Bryan E. Little, M.D.

• Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.