NPIMap

Organization Active NPI

Lisa B Whitehead PLLC

  • Clinical Social Worker
  • Okemos, MI
National Provider Identifier
1215399290
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801064670 Issued in MI
Legal business name
LISA B WHITEHEAD PLLC
Practice address
4084 Okemos Rd Ste a
Okemos, MI 48864-3258
Phone
(517) 347-4848
NPI assigned
Mar 28, 2016
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Lisa WhiteheadNPI 1104926880
Title
Clinical Social Worker
Phone
(517) 347-4848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801064670 MI Primary

Addresses

Primary practice location

4084 Okemos Rd Ste a
Okemos, MI 48864-3258

Mailing address

4084 Okemos Rd Ste a
Okemos, MI 48864-3258

National Provider Directory

National Provider Directory

Locations

4084 Okemos Rd
Ste A
Okemos, MI 48864
Phone (517) 347-4848

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1215399290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4084 OKEMOS RD STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4084 OKEMOS RD STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643258",
            "telephone_number": "517-347-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA B WHITEHEAD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "517-347-4848"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801064670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.