Individual provider Active NPI

Lucy Mayes Grippo, LLMSW

  • Clinical Social Worker
  • Dexter, MI
National Provider Identifier
1427621150
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851110624 Issued in MI
Practice address
7200 Dan Hoey Rd Ste G2
Dexter, MI 48130-4201
Phone
(734) 580-2920
NPI assigned
Jul 20, 2021
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6851110624 MI
Clinical Social Worker 1041C0700X 6851110624 MI Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

7200 Dan Hoey Rd Ste G2
Dexter, MI 48130-4201

Mailing address

7200 Dan Hoey Rd Ste G2
Dexter, MI 48130-4201

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
I20231104000286 MI Practitioner - Clinical Social Worker 2264889849 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851110624MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Mind Counseling Services LLC CurrentSince Oct 24, 2023 Accepting new patients
Soft Edge Counseling Services PLLC Clinical Current Accepting new patients
Sasco Dexter LLC PastSince Oct 24, 2023 Accepting new patients

Locations

2820 Baker Rd
Ste 100
Dexter, MI 48130
Phone (734) 580-2920

7200 Dan Hoey Rd
Ste G2
Dexter, MI 48130
Phone (734) 580-2920

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1427621150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 DAN HOEY RD STE G2",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481304201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 DAN HOEY RD STE G2",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481304201",
            "telephone_number": "734-580-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIPPO",
        "first_name": "LUCY",
        "middle_name": "MAYES",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6851110624",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851110624",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MI

Sources for this page

Verify at the official NPI Registry.