Conni Jani Lutes, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

W 6801046168 Issued in MI

Practice address

8036 Moorsbridge Road
Suite #2
Portage, MI 49024-4417

Phone

(269) 327-1438

Fax

(269) 327-6454

NPI assigned

Sep 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eyeglass Acquisitions, Inc.

  • Eyewear Supplier
  • Jackson, MI
  • NPI 1568524734
  NPD (past)
• Mid-America Psychological Services, P. C.

  • Clinical Social Worker
  • Portage, MI
  • NPI 1376682641
  NPD (past)

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306940663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2585",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490812585",
            "telephone_number": "269-381-0150",
            "fax_number": "269-373-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8036 MOORSBRIDGE ROAD",
            "address_2": "SUITE #2",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244417",
            "telephone_number": "269-327-1438",
            "fax_number": "269-327-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTES",
        "first_name": "CONNI",
        "middle_name": "JANI",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "W 6801046168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Lucas, CPNP-PC
• Janet E. Luchies
• Stephen R Lull, M.D.
• Luminous Path Therapy
• Ramona Kay Lumpkin, LLMSW
• Anastasiya Lutsenko
• Luxottica Retail North America Inc
• Lucetta Lynne Lyford, PA-C
• Milton Douglas Lynes, DC
• Theophilus Minh-Tran Lynn-Nguyen, PHARMD

• Clinical Social Worker in Portage, MI
• Providers in Portage, 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 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.