Active NPI
Lakisha Renae Wilson
- Social Worker
- Flint, MI
National Provider Identifier
1336435148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 303 W Water St
Suite 108
Flint, MI 48503-5627 - Phone
- (810) 232-2766
- NPI assigned
- Jun 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
303 W Water St
Suite 108
Flint, MI 48503-5627
Mailing address
303 W Water St
Suite 108
Flint, MI 48503-5627
Phone (810) 232-2766
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alternative Community Living, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Flint, MI
- NPI 1164718441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1336435148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 W WATER ST",
"address_2": "SUITE 108",
"city": "FLINT",
"state": "MI",
"postal_code": "485035627",
"telephone_number": "810-232-2766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 W WATER ST",
"address_2": "SUITE 108",
"city": "FLINT",
"state": "MI",
"postal_code": "485035627",
"telephone_number": "810-232-2766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LAKISHA",
"middle_name": "RENAE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.