Organization Active NPI

Lisa a Shamie PLLC

  • Clinical Social Worker
  • Northville, MI
National Provider Identifier
1306079884
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801067946 Issued in MI
Legal business name
LISA A SHAMIE PLLC
Practice address
640 Griswold St Ste 300
Northville, MI 48167-1690
Phone
(248) 605-5578
Fax
(248) 348-3410
NPI assigned
Aug 31, 2009
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Ms. Lisa Ann Shamie, MSW, LMSW, CAACNPI 1144230426
Title
Member
Phone
(248) 605-5578

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 204538 MI
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801067946 MI Primary

Addresses

Primary practice location

640 Griswold St Ste 300
Northville, MI 48167-1690

Mailing address

PO Box 530174
Livonia, MI 48153-0174
Phone (248) 605-5578

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100701000652 MI Part B Supplier - Clinic/Group Practice 8022149285 Receives reassigned benefits from 1 practitioner
Practice locations: Northville, MI

National Provider Directory

National Provider Directory

Locations

14555 Levan Rd
Ste W313B
Livonia, MI 48154
Phone (248) 605-5578

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": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1306079884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530174",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481530174",
            "telephone_number": "248-605-5578",
            "fax_number": "248-348-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 GRISWOLD ST STE 300",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671690",
            "telephone_number": "248-605-5578",
            "fax_number": "248-348-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA A SHAMIE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "SHAMIE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-605-5578",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LMSW, CAAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "204538",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801067946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.