Individual provider Active NPI

Heidi Lewicki, MSW, LMSW

  • Clinical Social Worker
  • Grand Blanc, MI
National Provider Identifier
1215010186
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801068026 Issued in MI
Practice address
10785 S Saginaw St
Suite a, BLDG. E
Grand Blanc, MI 48439-7003
Phone
(810) 695-0055
Fax
(810) 695-6813
NPI assigned
Oct 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801068026 MI Primary

Addresses

Primary practice location

10785 S Saginaw St
Suite a, BLDG. E
Grand Blanc, MI 48439-7003

Mailing address

880 N Sashabaw Rd
Ortonville, MI 48462-9187
Phone (248) 627-6285

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801068026MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215010186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 N SASHABAW RD",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484629187",
            "telephone_number": "248-627-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10785 S SAGINAW ST",
            "address_2": "SUITE A, BLDG. E",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397003",
            "telephone_number": "810-695-0055",
            "fax_number": "810-695-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWICKI",
        "first_name": "HEIDI",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801068026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.