Lilita Matison, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801106757 Issued in MI

Practice address

5464 Holiday Ter
Kalamazoo, MI 49009-2147

Phone

(312) 823-2702

NPI assigned

May 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1205195591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 AMHERST AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083935",
            "telephone_number": "312-823-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5464 HOLIDAY TER",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092147",
            "telephone_number": "312-823-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATISON",
        "first_name": "LILITA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106757",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "2472910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynnette Matar, MA LPC NCC LLP
• Paige Materi, BSW
• Maternal Infant Health Program
• Heather Lyn Matheny, P.A.-C
• Nina A Mathew, MD
• Mara Inta Matison, DDS
• Leonard Mattano, M.D.
• Mattawan Dental, PLC, Dba Texas Corners Dental
• Mattawan Dental, PLC, Dba Texas Corners Dental
• Lindsy Lee Matteoni-Losiewski, LPC

• Clinical Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, 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 Feb 24, 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.