Individual provider Active NPI

Lisa Renee George, LMSW

  • Clinical Social Worker
  • Troy, MI
National Provider Identifier
1427723220
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801065950 Issued in MI
Practice address
675 E Big Beaver Rd Ste 207
Troy, MI 48083-1428
Phone
(248) 677-1421
NPI assigned
Aug 12, 2021
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801065950 MI Primary

Addresses

Primary practice location

675 E Big Beaver Rd Ste 207
Troy, MI 48083-1428

Mailing address

23543 Playview St
Saint Clair Shores, MI 48082-2093
Phone (586) 707-3630

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Office@thewrightcounseling.com

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

LicenseStateTypeSpecialty
6801065950MIMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: office@thewrightcounseling.com

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1427723220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23543 PLAYVIEW ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822093",
            "telephone_number": "586-707-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E BIG BEAVER RD STE 207",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831428",
            "telephone_number": "248-677-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801065950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Office@thewrightcounseling.com",
            "affiliation": "N",
            "address_1": "675 E Big Beaver Rd Ste 207",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480831428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.