Individual provider Active NPI

Elizabeth Mary Reed, LMSW

  • Clinical Social Worker
  • Lapeer, MI
National Provider Identifier
1356639983
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094190 Issued in MI
Practice address
1134 S Lapeer Rd Lowr Level
Lapeer, MI 48446-3042
Phone
(313) 588-0418
Fax
(810) 452-6059
NPI assigned
Jul 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X 6801094190 MI Primary

Addresses

Primary practice location

1134 S Lapeer Rd Lowr Level
Lapeer, MI 48446-3042

Mailing address

4150 Newark Rd
Attica, MI 48412-9760
Phone (810) 721-0769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160601002642 MI Practitioner - Clinical Social Worker 1658661756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Michigan State University College of Human Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4150 Newark Rd
Liz Life Guru
Attica, MI 48412-9760
Phone (313) 588-0418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801094190MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Liz Life Guru LLC Clinical CurrentSince Aug 29, 2017 Accepting new patients
Liz Life Guru LLC Clinical CurrentSince Aug 29, 2017 Accepting new patients

Locations

343 Pine St
Lapeer, MI 48446
Phone (313) 588-0418

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356639983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 NEWARK RD",
            "city": "ATTICA",
            "state": "MI",
            "postal_code": "484129760",
            "telephone_number": "810-721-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 S LAPEER RD LOWR LEVEL",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463042",
            "telephone_number": "313-588-0418",
            "fax_number": "810-452-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.