Active NPI
Lisette Hoeltzel, L.M.S.W.
- Clinical Social Worker
- Manistique, MI
National Provider Identifier
1437482197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801091067
- Practice address
- 813 E Lakeshore Dr
Manistique, MI 49854-1683 - Phone
- (906) 341-3420
- NPI assigned
- Sep 14, 2009
- Sex
- Female
- Sole proprietor
- No
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)
- Enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801091067 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
813 E Lakeshore Dr
Manistique, MI 49854-1683
Mailing address
325 E H St
Iron Mountain, MI 49801-4760
Phone (906) 774-3300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 14, 2018.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544745600000",
"number": "1437482197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 E H ST",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498014760",
"telephone_number": "906-774-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 E LAKESHORE DR",
"city": "MANISTIQUE",
"state": "MI",
"postal_code": "498541683",
"telephone_number": "906-341-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOELTZEL",
"first_name": "LISETTE",
"credential": "L.M.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-14",
"last_updated": "2018-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801091067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manistique, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.