Lisa Lasala, PHD, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LISA LASALA, PHD, PC

Practice address

999 Haynes St Ste 300
Birmingham, MI 48009-6775

Phone

(248) 207-1863

NPI assigned

Sep 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Lasala, PHD, LMSWNPI 1982687372

Title

Clinical Social Worker

Phone

(248) 207-1863

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Lisa Greenlee Lasala, MSW ACSW

  • Clinical Social Worker
  • Birmingham, MI
  • NPI 1982687372
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1306320064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 HAYNES ST STE 300",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096775",
            "telephone_number": "248-207-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 HAYNES ST STE 300",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096775",
            "telephone_number": "248-207-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA LASALA, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "LASALA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "248-207-1863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette L Lillystone, CTRS
• Linda Aardema Psy S PLLC
• Linda D Seltzer-Sucher PHD LLC
• Lionel Finkelstein MD PC
• Ida Afshar Lippincott, MD
• Lisa M. Motyl, DDS, PLLC
• Lindsay Liwak, CTRS
• Jamie Loehrke, MD
• Laurie Long
• Louis I White MD

• Clinical Social Worker in Birmingham, MI
• Providers in Birmingham, 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 Jan 20, 2022; 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.