Active NPI
Elizabeth Luidens, LLMSW
- Clinical Social Worker
- Saint Clair Shores, MI
National Provider Identifier
1376306209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851117736
- Practice address
- 21611 E 11 Mile Rd
Saint Clair Shores, MI 48081-1636 - Phone
- (586) 944-2902
- NPI assigned
- Feb 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851117736 | MI | Primary |
Addresses
Primary practice location
21611 E 11 Mile Rd
Saint Clair Shores, MI 48081-1636
Mailing address
3697 Lakepointe St
Detroit, MI 48224-3357
Phone (616) 550-3099
Other practice location 1
1861 E Maple Rd
Troy, MI 48083-4207
Phone (248) 246-0172
Other names 1
- Lyz Luidens
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851117736 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCTS Rose, LLC | Clinical | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1376306209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3697 LAKEPOINTE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482243357",
"telephone_number": "616-550-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21611 E 11 MILE RD",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480811636",
"telephone_number": "586-944-2902"
}
],
"practiceLocations": [
{
"address_1": "1861 E Maple Rd",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480834207",
"country_code": "US",
"telephone_number": "248-246-0172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUIDENS",
"first_name": "ELIZABETH",
"credential": "LLMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-02",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851117736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYZ",
"last_name": "LUIDENS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.