Active NPI
Lakeishathomaspllc
- Clinical Social Worker
- Ypsilanti, MI
National Provider Identifier
1467112151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LAKEISHATHOMASPLLC
- Practice address
- 124 Pearl St Ste 307
Ypsilanti, MI 48197-2663 - Phone
- (734) 404-8682
- NPI assigned
- Dec 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lakeisha Thomas, LLMSW
- Title
- Clinical Director
- Phone
- (734) 404-8682
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
124 Pearl St Ste 307
Ypsilanti, MI 48197-2663
Mailing address
124 Pearl St Ste 307
Ypsilanti, MI 48197-2663
Phone (734) 404-8682
National Provider Directory
National Provider DirectoryLocations
124 Pearl St
Ste 307
Ypsilanti, MI 48197
Phone (734) 404-8682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640131200000",
"number": "1467112151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 PEARL ST STE 307",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481972663",
"telephone_number": "734-404-8682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 PEARL ST STE 307",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481972663",
"telephone_number": "734-404-8682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEISHATHOMASPLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-22",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "LAKEISHA",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "734-404-8682",
"authorized_official_credential": "LLMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.