Organization Active NPI

Lisa Inoue LMSW PLLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1205284049
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801081902 Issued in MI
Legal business name
LISA INOUE LMSW PLLC
Practice address
2311 Shelby Ave
Ann Arbor, MI 48103-3849
Phone
(734) 707-1013
Fax
(734) 345-1012
NPI assigned
Jun 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Ms. Lisa Inoue, LMSWNPI 1003922501
Title
Psychotherapist/Owner
Phone
(734) 904-5977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801081902 MI Primary

Addresses

Primary practice location

2311 Shelby Ave
Ann Arbor, MI 48103-3849

Mailing address

3443 Burbank Dr
Ann Arbor, MI 48105-1518
Phone (734) 707-1013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160609001916 MI Part B Supplier - Clinic/Group Practice 7315237963 Receives reassigned benefits from 1 practitioner
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

2311 Shelby Ave
Ann Arbor, MI 48103
Phone (734) 619-0456

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1205284049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 BURBANK DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051518",
            "telephone_number": "734-707-1013",
            "fax_number": "734-345-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 SHELBY AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033849",
            "telephone_number": "734-707-1013",
            "fax_number": "734-345-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA INOUE LMSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "INOUE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "734-904-5977",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801081902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.